Provider Demographics
NPI:1124171137
Name:HOLMES, TERRI BRANDY (LCSW)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:BRANDY
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BRANDY
Other - Middle Name:WOODS
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1166 COUNTY ROAD 1716
Mailing Address - Street 2:
Mailing Address - City:HOLLY POND
Mailing Address - State:AL
Mailing Address - Zip Code:35083-5802
Mailing Address - Country:US
Mailing Address - Phone:256-796-5482
Mailing Address - Fax:256-796-1776
Practice Address - Street 1:1608 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4904
Practice Address - Country:US
Practice Address - Phone:256-340-9233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0793-2015C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical