Healthcare Provider Details

I. General information

NPI: 1265799654
Provider Name (Legal Business Name): GEMMA RACHEL HOLMES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28991 OLD TOWN FRONT ST STE 102
TEMECULA CA
92590-2858
US

IV. Provider business mailing address

28991 OLD TOWN FRONT ST STE 102
TEMECULA CA
92590-2858
US

V. Phone/Fax

Practice location:
  • Phone: 858-837-0745
  • Fax: 877-728-4773
Mailing address:
  • Phone: 858-837-0745
  • Fax: 877-728-4773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: