Individual provider · Type 1 NPI

Amanda Holmes

Mental Health Counselor · Lafayette, LA

NPI number 1114462603 Active

Practice location

1304 Bertrand Dr, Buite B2
Lafayette, LA 70506-9107

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1114462603

Amanda Holmes's National Provider Identifier is 1114462603, issued on Dec 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Dec 20, 2016.