Healthcare Provider Details

I. General information

NPI: 1649093394
Provider Name (Legal Business Name): JHINIKA LOUVE HOLMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BATTLEGROUND AVE STE 209E
GREENSBORO NC
27408-8028
US

IV. Provider business mailing address

400 PARK RIDGE LN APT A
WINSTON SALEM NC
27104-3559
US

V. Phone/Fax

Practice location:
  • Phone: 336-383-1665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP021404
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP021404
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: