Individual ProviderErica HolmesCounselorBehavioral Health & Social Service ProvidersPractice Address3519 E Shea Blvd Ste 119a, Phoenix, AZ 85028-3341(602) 448-8007PECOS EnrollmentBased on the most recent information from CMS, provider Erica Holmes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1730893967Provider TypeIndividualFull NameHolmes, EricaGenderFemaleSole ProprietorNoEnumeration Date1/11/2023Last Updated3/22/2023Contact InformationPractice LocationPractice Address3519 E Shea Blvd Ste 119a, Phoenix, AZ 85028-3341Phone(602) 448-8007FaxUnlisted FaxMailing LocationMailing Address4949 E Van Buren St Unit 61024, Phoenix, AZ 85026-9801Phone(602) 448-8007Fax(855) 330-6106Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLAC-21656Arizona