Provider Demographics
NPI:1134436181
Name:SHERENA HOLMES, PLLC
Entity type:Organization
Organization Name:SHERENA HOLMES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR AND FOUNDING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHERENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:832-283-3005
Mailing Address - Street 1:2722 BLUE WIND CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5655
Mailing Address - Country:US
Mailing Address - Phone:832-283-3005
Mailing Address - Fax:832-283-3005
Practice Address - Street 1:2722 BLUE WIND CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5655
Practice Address - Country:US
Practice Address - Phone:832-283-3005
Practice Address - Fax:832-283-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61728305S00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty