Provider Demographics
NPI:1821591892
Name:JOANN M. HOLMAN, MS, LPC
Entity Type:Organization
Organization Name:JOANN M. HOLMAN, MS, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-542-8660
Mailing Address - Street 1:9694 MADISON BLVD STE A10
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9137
Mailing Address - Country:US
Mailing Address - Phone:256-542-8660
Mailing Address - Fax:
Practice Address - Street 1:9694 MADISON BLVD STE A10
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9137
Practice Address - Country:US
Practice Address - Phone:256-542-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
13947755OtherCAQH
AL3759OtherALABAMA BOARD OF EXAMINERS IN COUNSELING
1780131367OtherNPI