Healthcare Provider Details

I. General information

NPI: 1003528936
Provider Name (Legal Business Name): OLIVIA HOLT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4159 LOWELL BLVD
DENVER CO
80211-1658
US

IV. Provider business mailing address

1511 W 124TH AVE STE 200
WESTMINSTER CO
80234-1882
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-1799
  • Fax:
Mailing address:
  • Phone: 720-648-8285
  • Fax: 720-808-1594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18901
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number111134
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: