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1508241472 NPI number — COURTNEY MAY HOLMES LCSW

NPI Number: 1508241472
Health Care Provider/Practitioner: COURTNEY MAY HOLMES LCSW

Information about “1508241472” NPI (COURTNEY MAY HOLMES LCSW) exists in 1508241472 in HTML format HTML  |  1508241472 in plain Text format TXT  |  1508241472 in PDF (Portable Document Format) PDF  |  1508241472 in an XML format XML  formats.

NPI Number : 1508241472 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508241472",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLMES",
    "FirstName": "COURTNEY",
    "MiddleName": "MAY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1301 SHILOH RD NW",
    "SecondLineMailingAddress": "SUITE 1811",
    "MailingAddressCityName": "KENNESAW",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30144-7147",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-851-8095",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1301 SHILOH RD NW",
    "SecondLinePracticeLocationAddress": "SUITE 1811",
    "PracticeLocationAddressCityName": "KENNESAW",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30144-7147",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-851-8095",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/21/2015",
    "LastUpdateDate": "02/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "CSW005066",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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