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NPI Code Detail

MEDICARE: TIANNA HOLMES

MEDICARE: TIANNA 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
1101YM0800XMental Health CounselorCTB-2025-0614NM

General Provider Information

NPI Number : 1982386082
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANNA HOLMES
Provider Business Mailing Address
First Line : 4343 PAN AMERICAN FWY NE STE 221
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-6834
Country : US
Telephone Number : 505-421-0814
Fax Number :
Provider Business Practice Location Address
First Line : 4343 PAN AMERICAN FWY NE STE 221
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-6834
Country : US
Telephone Number : 505-421-0814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 04/27/2026

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Directions to “ TIANNA HOLMES ” Practice Location

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