Healthcare Provider Details

I. General information

NPI: 1124039979
Provider Name (Legal Business Name): DAVID M HOLMES LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 LEE BLVD
LEHIGH ACRES FL
33971-1438
US

IV. Provider business mailing address

803 GLENN AVE
LEHIGH ACRES FL
33972-3331
US

V. Phone/Fax

Practice location:
  • Phone: 239-690-6906
  • Fax: 256-582-3216
Mailing address:
  • Phone: 423-421-8721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2682
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: