Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IMAC SORAYA REYNAGA HOLMES, ED.D M.S. LPC LCADC
Active Sole ProprietorDR. IMAC SORAYA REYNAGA HOLMES, ED.D M.S. LPC LCADC is a Professional Counselor healthcare provider located in WILLIAMS, Arizona. NPI 1447313911 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · WILLIAMS, AZ
Registration Details
- NPI Number
- 1447313911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2006 (19.508667448101 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
PC004761 (PA)37LC00163700 (NJ)37PC00398600 (NJ)LPC-19884 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 S 6TH STWILLIAMS, AZ, 860460110Browse AZ providers · Browse ZIP 86046
- Phone
- 9286354441
- Fax
- 9286354403
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in WILLIAMS, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. CARRIE LYNN APPLEBY | LPC, LISAC | 1871867085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.