Tasia Ann Holmes

Individual provider Active NPI Mental Health Counselor · Ranson, WV

NPI 1407675705 · NPPES record last updated Oct 4, 2024

Key facts

NPI
1407675705
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
944 (WV)
Practice address
115 E 3Rd Ave
Ranson, WV 25438-1640
Phone
(304) 596-2889
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
No

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E 3Rd Ave
Ranson, WV 25438-1640

PO Box
Suite 780
Morgantown, WV 26507-0780

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
944WVMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 944 WV Yes

Addresses

Primary practice location

115 E 3Rd Ave
Ranson, WV 25438-1640

Mailing address

115 E 3Rd Ave
Ranson, WV 25438-1640
Phone (304) 596-2889

Other providers in Ranson, WV

All providers in Ranson, WV · Mental Health Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.