Healthcare Provider Details

I. General information

NPI: 1174488522
Provider Name (Legal Business Name): VICTORIA LYNN HOLMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA HARRISON-HOLMES

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 DANBURY ST SW
WASHINGTON DC
20032-2227
US

IV. Provider business mailing address

1100 NEW JERSEY AVE SE STE 2225
WASHINGTON DC
20003-3302
US

V. Phone/Fax

Practice location:
  • Phone: 248-872-9099
  • Fax:
Mailing address:
  • Phone: 248-872-9099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: