Provider Demographics
NPI:1740949445
Name:RAINES, HOLDEN DAVID (LPC)
Entity type:Individual
Prefix:
First Name:HOLDEN
Middle Name:DAVID
Last Name:RAINES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SUMMIT RIDGE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4461
Mailing Address - Country:US
Mailing Address - Phone:276-870-0326
Mailing Address - Fax:
Practice Address - Street 1:138 OAKTREE BLVD
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1488
Practice Address - Country:US
Practice Address - Phone:540-260-3495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011056101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional