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NPI Code Detail

MEDICARE: HOLLY GRIGSBY, PLLC

MEDICARE: HOLLY GRIGSBY, PLLC
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
1101YM0800XMental Health CounselorLH60835736WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260471OTHERWAFIRST CHOICE HEALTH NETWORK

General Provider Information

NPI Number : 1922592062
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLLY GRIGSBY, PLLC
Provider Business Mailing Address
First Line : 3213 HARBOR AVE SW STE 1
Second Line :
City : SEATTLE
State : WA
Zip : 98126-4600
Country : US
Telephone Number : 206-552-0504
Fax Number : 206-590-5922
Provider Business Practice Location Address
First Line : 3213 HARBOR AVE SW STE 1
Second Line :
City : SEATTLE
State : WA
Zip : 98126-4600
Country : US
Telephone Number : 206-552-0504
Fax Number : 206-590-5922
Authorized Official
Title or Position : OWNER
Name : MS. HOLLY P GRIGSBY
Credential : MA, LMHC
Telephone Number : 206-552-0504
Provider Enumeration Date : 06/21/2018
Last Update Date : 05/23/2023

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