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General NPI Number Information
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NPI Number | 1134436181
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Entity Type | Organization
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Legal Business Name | SHERENA HOLMES, PLLC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 2722 BLUE WIND CT
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City | HOUSTON
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State | TX
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Zip | 77084-5655
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Country | US
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Telephone | 832-283-3005
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Fax | 832-283-3005
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Provider Business Mailing Address
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Address Line | 2722 BLUE WIND CT
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City | HOUSTON
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State | TX
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Zip | 77084-5655
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Country | US
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Telephone | 832-283-3005
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Fax | 832-283-3005
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Authorized Official
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Title or Position | COUNSELOR AND FOUNDING MEMBER
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Name | SHERENA HOLMES
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Credential | MS, LPC, NCC
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Telephone | 832-283-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 61728
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License Number State | TX
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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 | 61728
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License Number State | TX
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