Provider Demographics
NPI:1033657176
Name:COMPREHENSIVE ADDICTION SOLUTIONS LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE ADDICTION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LAC
Authorized Official - Phone:303-946-2358
Mailing Address - Street 1:6402 S TROY CIRCLE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-8439
Mailing Address - Country:US
Mailing Address - Phone:303-214-5299
Mailing Address - Fax:303-389-9423
Practice Address - Street 1:6402 S TROY CIRCLE
Practice Address - Street 2:SUITE 340
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-8439
Practice Address - Country:US
Practice Address - Phone:303-214-5299
Practice Address - Fax:303-389-9423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO173101YA0400X
CO9919841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty