Healthcare Provider Details

I. General information

NPI: 1801327614
Provider Name (Legal Business Name): HOLLY GREGORY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 GRANT AVE STE 160
LOVELAND CO
80538-8436
US

IV. Provider business mailing address

3850 GRANT AVE STE 160
LOVELAND CO
80538-8436
US

V. Phone/Fax

Practice location:
  • Phone: 970-590-8094
  • Fax:
Mailing address:
  • Phone: 970-590-8094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAD0197041
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCMH0200461
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCMH0200461
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0017681
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: