Provider Demographics
NPI:1821360801
Name:HOLMES, KAREN D C (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D C
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 JACKS BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:TIMMONSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29161-8927
Mailing Address - Country:US
Mailing Address - Phone:843-621-0073
Mailing Address - Fax:
Practice Address - Street 1:226 S IRBY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4412
Practice Address - Country:US
Practice Address - Phone:843-664-4357
Practice Address - Fax:843-673-2006
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5643101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional