Healthcare Provider Details

I. General information

NPI: 1376470609
Provider Name (Legal Business Name): AVA HOLZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 N GRANT ST
DENVER CO
80203-3506
US

IV. Provider business mailing address

768 N OGDEN ST APT 5
DENVER CO
80218-3326
US

V. Phone/Fax

Practice location:
  • Phone: 720-445-9979
  • Fax:
Mailing address:
  • Phone: 720-772-8816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: