Provider Demographics
NPI:1669293817
Name:HOLMES, VENICA CHRISHELLE
Entity type:Individual
Prefix:MS
First Name:VENICA
Middle Name:CHRISHELLE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 36TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-1412
Mailing Address - Country:US
Mailing Address - Phone:205-876-6558
Mailing Address - Fax:
Practice Address - Street 1:328 36TH AVE NE
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:AL
Practice Address - Zip Code:35215-1412
Practice Address - Country:US
Practice Address - Phone:205-876-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical