Provider Demographics
NPI:1447893466
Name:HOLMES, ANGELA MICHELE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MICHELE
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 1:1000 WIGGINS PASS RD # 44A
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-6300
Mailing Address - Country:US
Mailing Address - Phone:919-356-7497
Mailing Address - Fax:
Practice Address - Street 1:1000 WIGGINS PASS RD # 44A
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-6300
Practice Address - Country:US
Practice Address - Phone:919-812-8499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician