Provider Demographics
NPI:1255447785
Name:HOLT, FLO ANN (LPC)
Entity type:Individual
Prefix:
First Name:FLO
Middle Name:ANN
Last Name:HOLT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:ANN
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:317 RIDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-8816
Mailing Address - Country:US
Mailing Address - Phone:970-596-2522
Mailing Address - Fax:970-493-9310
Practice Address - Street 1:109 W OLIVE ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2831
Practice Address - Country:US
Practice Address - Phone:970-596-2522
Practice Address - Fax:970-493-9310
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional