Holmes, Anthony Ray

Holmes, Anthony Ray is an sole proprietor health care provider with primary practice located at 404 Steve Drive , Russell Springs KY 42642-4622. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Holmes, Anthony Ray can be contacted via phone (270) 866-3161.

Contact Information

Primary practice address
404 Steve Drive Russell Springs KY 42642-4622
Phone: (270) 866-3161
Fax: (270) 866-3163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1226 Kentucky

Profile Details

NPI number 1407121171
LBN Legal business name Holmes, Anthony Ray
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2012
Last updated Jul 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407121171 NPPES
Other 12151069 CAQH
MEDICAID 7100266270 CAQH

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