Provider Demographics
NPI:1013244011
Name:HOLMES, PAULA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:M
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAINE BEHAVIORAL HEALTHCARE
Mailing Address - Street 2:15 MIDCOAST DR.
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915
Mailing Address - Country:US
Mailing Address - Phone:207-338-2295
Mailing Address - Fax:207-338-2388
Practice Address - Street 1:MAINE BEHAVIORAL HEALTHCARE
Practice Address - Street 2:15 MIDCOAST DR.
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-338-2295
Practice Address - Fax:207-338-2388
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC118181041C0700X
MELC133081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME002771801Medicare PIN