Provider Demographics
NPI:1811656770
Name:HOLEMAN, REBECCA BETH (CHHC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:BETH
Last Name:HOLEMAN
Suffix:
Gender:F
Credentials:CHHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 LAGUNA NIGEL CT
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-5581
Mailing Address - Country:US
Mailing Address - Phone:520-500-3645
Mailing Address - Fax:
Practice Address - Street 1:2415 LAGUNA NIGEL CT
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-5581
Practice Address - Country:US
Practice Address - Phone:520-500-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach