Individual
MICHAEL HOLMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-2572
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-2572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
287698
KY
101YP2500X
Professional Counselor
—
—
172V00000X
Community Health Worker
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114932514
—
KY
05
—
1790731081
—
KY
Enumeration date
01/29/2019
Last updated
12/03/2025
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