Healthcare Provider Details

I. General information

NPI: 1326825845
Provider Name (Legal Business Name): HOLLEIGH HERCHENBACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6081 S QUEBEC ST STE 200
CENTENNIAL CO
80111-4538
US

IV. Provider business mailing address

515 S CLAY ST
DENVER CO
80219-3036
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-9306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: