Individual provider · Type 1 NPI

Samantha Holmes, LPCC, LCDCIII

Mental Health Counselor · Beachwood, OH

NPI number 1639534555 Active

Practice location

24100 Chagrin Blvd Ste 330
Beachwood, OH 44122-5552

Mailing address

PO Box 605072
Cleveland, OH 44105-0072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.0800184 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDC.101039-3 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161926 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1639534555

Samantha Holmes, LPCC, LCDCIII's National Provider Identifier is 1639534555, issued on Dec 18, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beachwood, OH. The record was last updated on May 16, 2023.