Ethan Holmes is a Peer Specialist based in Beachwood, OH. Ethan Holmes practices in Beachwood, OH. The NPI Number for Ethan Holmes is 1073243275 and holds a License No. (Ohio).
The current practice location address for Ethan Holmes is 25201 Chagrin Blvd Ste 390, Beachwood, OH and can be reached out via phone at 216-910-9015.
Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH, 44122-5637
Provider Profile Details
NPI Number
1073243275
Provider Name
Ethan Holmes
Credential
Provider Entity Type
Individual
Gender
Male
Address
25201 Chagrin Blvd Ste 390, Beachwood, OH, 44122-5637
Phone Number
216-910-9015
Fax Number
Provider Enumeration Date
06/13/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
25201 Chagrin Blvd Ste 390
City
State
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
Provider Business Mailing Address Details
Address
25201 Chagrin Blvd Ste 390
City
State
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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