| Willie Edward Holmes, | |
|
1104 Lombardy St, Marion, SC 29571-2005 | |
| (843) 431-1100 | |
| (843) 431-1103 |
| Full Name | Willie Edward Holmes |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1104 Lombardy St, Marion, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306962451 | NPI | - | NPPES |
| 376241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Willie Edward Holmes, 125 E Cheves St, Florence, SC 29506-2526 Ph: (843) 317-4089 | Willie Edward Holmes, 1104 Lombardy St, Marion, SC 29571-2005 Ph: (843) 431-1100 |
Ginger Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Nw Court St, Marion, SC 29571 Phone: 843-423-8292 Fax: 843-423-8294 | |
Gretchen Whitman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 N Main St, Marion, SC 29571 Phone: 843-423-1811 Fax: 843-423-1811 | |
Mr. Elbert Wynn Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Bluff St, Marion, SC 29571 Phone: 843-431-1105 Fax: 843-431-1112 | |
Valencia S Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Nw Court St, Marion, SC 29571 Phone: 843-423-8292 Fax: 843-423-8294 | |
Cindy Moody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Nw Court St, Marion, SC 29571 Phone: 843-423-8292 Fax: 843-423-8294 | |
Mrs. Vanessa Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1104 Lombardy St, Marion, SC 29571 Phone: 843-431-1100 Fax: 843-431-1103 |