Provider Demographics
NPI:1578687976
Name:HOLLIDAY, DEBBIE (LMFT LPC-LTD)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:LMFT LPC-LTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4360 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-4003
Mailing Address - Country:US
Mailing Address - Phone:720-887-1310
Mailing Address - Fax:303-466-9996
Practice Address - Street 1:1022 DEPOT HILL RD
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1068
Practice Address - Country:US
Practice Address - Phone:720-887-1310
Practice Address - Fax:303-466-9996
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO241106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist