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NPI Code Detail

MEDICARE: TASHENA HOLMES

MEDICARE: TASHENA HOLMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorMA

General Provider Information

NPI Number : 1366391336
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHENA HOLMES
Provider Business Mailing Address
First Line : 417 LIBERTY ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01104-3736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 335 CHANDLER ST
Second Line :
City : WORCESTER
State : MA
Zip : 01602-3441
Country : US
Telephone Number : 413-301-9406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ TASHENA HOLMES ” Practice Location

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