DR. IMAC SORAYA REYNAGA HOLMES ED.D M.S. LPC LCADC NPI 1447313911

NPI Information

NPI: 1447313911
Provider Name: DR. IMAC SORAYA REYNAGA HOLMES, ED.D M.S. LPC LCADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
300 S 6TH ST
WILLIAMS, AZ
ZIP 86046
Phone: (928) 635-4441
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DR. Imac Soraya Reynaga Holmes, ED.D M.S. LPC LCADC is a professional counselor in Williams, AZ. DR. Imac Soraya Reynaga Holmes, ED.D M.S. LPC LCADC NPI is 1447313911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 S 6TH ST
WILLIAMS, AZ
ZIP 86046-110
Phone: (928) 635-4441
Fax: (928) 635-4403

The enumeration date for this NPI number is 12/18/2006 and was last updated on 6/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00163700	NEW JERSEY	No
2	101YP2500X	Counselor	Professional	LPC-19884	ARIZONA	Yes
3	101YP2500X	Counselor	Professional	37PC00398600	NEW JERSEY	No
4	101YP2500X	Counselor	Professional	PC004761	PENNSYLVANIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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