MEDICARE: HOLLY GREGORY

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1326870858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLY GREGORY

Provider Business Mailing Address
First Line	:	3850 GRANT AVE
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-8431
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3850 GRANT AVE
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-8431
Country	:	US
Telephone Number	:	518-244-3737
Fax Number	:	518-244-5292

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	MARTIN NEARY
Credential	:
Telephone Number	:	518-244-3737

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	03/20/2026

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Directions to “HOLLY GREGORY ” Practice Location

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