Provider Demographics
NPI:1659061125
Name:HOLMES, STEVEN BOYD
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BOYD
Last Name:HOLMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1307
Mailing Address - Country:US
Mailing Address - Phone:517-449-3185
Mailing Address - Fax:
Practice Address - Street 1:100 W SAGINAW HWY STE B
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-1800
Practice Address - Country:US
Practice Address - Phone:517-338-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical