| Candace Bolz Therapy Llc | |
|
18285 Roller Coaster Rd # 80132 Monument CO 80132-8352 | |
| (719) 354-5237 | |
| Not Available |
| Full Name | Candace Bolz Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18285 Roller Coaster Rd # 80132, Monument, Colorado |
| Authorized Official Name and Position | Candace Bolz (OWNER/THERAPIST) |
| Authorized Official Contact | 7193545237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Bolz Therapy Llc 18285 Roller Coaster Rd # 80132 Monument CO 80132-8352 Ph: (303) 875-7438 | Candace Bolz Therapy Llc 18285 Roller Coaster Rd # 80132 Monument CO 80132-8352 Ph: (719) 354-5237 |
| NPI Number | 1316754708 |
|---|---|
| Provider Enumeration Date | 12/18/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Medicare PECOS PAC ID | 5496283517 |
|---|---|
| Medicare Enrollment ID | O20250116001852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316754708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Candace Bolz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578172482 PECOS PAC ID: 6103233622 Enrollment ID: I20210330001921 |
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