Provider Demographics
NPI:1154653467
Name:BOK, TAMRA LEE (LPC)
Entity Type:Individual
Prefix:
First Name:TAMRA
Middle Name:LEE
Last Name:BOK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TAMRA
Other - Middle Name:L
Other - Last Name:WINTER RYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:700 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-8370
Mailing Address - Country:US
Mailing Address - Phone:719-661-9323
Mailing Address - Fax:719-434-9930
Practice Address - Street 1:700 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-8370
Practice Address - Country:US
Practice Address - Phone:719-661-9323
Practice Address - Fax:719-434-9930
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012459101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09750061Medicaid