Provider Demographics
NPI:1598556896
Name:HOLLAND, THERESA HOLLY
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:HOLLY
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:HOLLY
Other - Last Name:ZIMBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2275 CHESTER ST UNIT 1216
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1987
Mailing Address - Country:US
Mailing Address - Phone:303-906-9466
Mailing Address - Fax:
Practice Address - Street 1:10190 MONTVIEW BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-2202
Practice Address - Country:US
Practice Address - Phone:303-906-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator