Provider Demographics
NPI:1184740995
Name:HOLMES, DEBBIE LEE (LMSW)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:LEE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 E COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-9673
Mailing Address - Country:US
Mailing Address - Phone:785-823-1245
Mailing Address - Fax:785-823-1940
Practice Address - Street 1:113 N 7TH ST STE 301
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2603
Practice Address - Country:US
Practice Address - Phone:785-823-1245
Practice Address - Fax:785-823-1940
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW 4890101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health