MEDICARE: HALI NEVES MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101Y00000X	Counselor	PPC-616	WY
3	101YM0800X	Mental Health Counselor
4	101YP2500X	Professional Counselor	LPC-1334	WY
5	101YP2500X	Professional Counselor	CCMH0214791	NM
6	101YP2500X	Professional Counselor	0014207	CO

General Provider Information

NPI Number	:	1073892725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALI NEVES MA, LPC

Provider Business Mailing Address
First Line	:	1163 BELLEVIEW DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3840
Country	:	US
Telephone Number	:	970-279-1117
Fax Number	:	970-837-3401

Provider Business Practice Location Address
First Line	:	1163 BELLEVIEW DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3840
Country	:	US
Telephone Number	:	970-279-1117
Fax Number	:	970-837-3401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	08/07/2024

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