Holmes, Shaneka

Holmes, Shaneka is an individual health care provider with primary practice located at 401 Robeson St , Fayetteville NC 28301-5635. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Holmes, Shaneka can be contacted via phone (910) 286-3424.

Contact Information

Primary practice address
401 Robeson St Fayetteville NC 28301-5635
Phone: (910) 286-3424
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21999 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P008933 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X A-3745 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 098724 Iowa

Profile Details

NPI number 1639302490
LBN Legal business name Holmes, Shaneka
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2009
Last updated Jun 25th, 2020 - about 4 years ago

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 1639302490 NPPES
North Carolina MEDICAID 7492712

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