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Katharine Robinett Holley

Counselor

Behavioral Health & Social Service Providers

2050 Fairway Dr Ste 208, Bozeman, MT 59715-5810

PECOS Enrollment

This provider is enrolled in PECOS as KATHARINE HOLLEY.

Based on the most recent information from CMS, provider Katharine Robinett Holley is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1538179932
Provider Type
Individual
Full Name
Holley, Katharine Robinett
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/8/2006
Last Updated
12/23/2024

Contact Information

Practice Location

2050 Fairway Dr Ste 208, Bozeman, MT 59715-5810

(406) 581-9050

Unlisted Fax

Mailing Location

2050 Fairway Dr Ste 208, Bozeman, MT 59715-5810

(406) 581-9050

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1323 Montana

Provider Identifiers

ID	Description	Issuer
ID 000744813	Description Other	Issuer BCBS PRE-LICENSED PROF Montana
ID 0255374	Description Medicaid	Issuer Unlisted Montana

Katharine Robinett Holley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Dahlen, Penny Lin

Patrick, Rebekah Driessen

Emily Krushefski, Lcpc Inc.

Jurick, Adam C

Knell, Sarah Shaw

Smith, David Gregory

Finke, Karen

Livers, Ashley E

Dudley, Martha Fairchild

Ustinova, Karina