Provider Demographics
NPI:1780131367
Name:HOLMAN, JOANN MARIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:MARIE
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 MADISON BLVD STE 203B
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-3605
Mailing Address - Country:US
Mailing Address - Phone:256-542-8660
Mailing Address - Fax:
Practice Address - Street 1:7800 MADISON BLVD STE 203B
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-3605
Practice Address - Country:US
Practice Address - Phone:256-542-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2378A101Y00000X
ALLPC03759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor