Provider Demographics
NPI:1134409550
Name:HOLMES, SHERRIE L (LMHC)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:L
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 OLYMPIA AVE NE
Mailing Address - Street 2:SUITE 312, BOX 20
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4117
Mailing Address - Country:US
Mailing Address - Phone:425-518-2151
Mailing Address - Fax:
Practice Address - Street 1:401 OLYMPIA AVE NE
Practice Address - Street 2:SUITE 312, BOX 20
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4117
Practice Address - Country:US
Practice Address - Phone:425-518-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health