Provider Demographics
NPI:1790595866
Name:HOLMES, PIA S
Entity type:Individual
Prefix:
First Name:PIA
Middle Name:S
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 1:204 JOANNE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:VA
Mailing Address - Zip Code:23696-2447
Mailing Address - Country:US
Mailing Address - Phone:757-810-3211
Mailing Address - Fax:
Practice Address - Street 1:17152 THE TRAIL
Practice Address - Street 2:
Practice Address - City:KING AND QUEEN CH
Practice Address - State:VA
Practice Address - Zip Code:28085
Practice Address - Country:US
Practice Address - Phone:804-785-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-0604747101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool