Provider Demographics
NPI:1255714697
Name:HOLMAN, CONNIE-ANNE (LMHC)
Entity type:Individual
Prefix:
First Name:CONNIE-ANNE
Middle Name:
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CONNIE-ANNE
Other - Middle Name:
Other - Last Name:QUIRANTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94-547 HIAHIA LOOP
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3813
Mailing Address - Country:US
Mailing Address - Phone:808-223-5054
Mailing Address - Fax:
Practice Address - Street 1:319 N CANE ST STE A
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2130
Practice Address - Country:US
Practice Address - Phone:808-282-7564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health