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General NPI Number Information
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NPI Number | 1124039979
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Entity Type | Individual
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Provider Name | DAVID M HOLMES LMHC
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2913 LEE BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-1438
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Country | US
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Telephone | 239-690-6906
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Fax | 256-582-3216
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Provider Business Mailing Address
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Address Line | 803 GLENN AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33972-3331
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Country | US
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Telephone | 423-421-8721
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2682
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH23473
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License Number State | FL
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