Provider Demographics
NPI:1730992116
Name:HOLMES, SHEILA MARIE (LGPC, NCC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:MARIE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LGPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 APPLE LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-3078
Mailing Address - Country:US
Mailing Address - Phone:443-854-0537
Mailing Address - Fax:
Practice Address - Street 1:928 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-5825
Practice Address - Country:US
Practice Address - Phone:301-880-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health