Provider Demographics
NPI:1700018652
Name:FLOREZ, BEATRICE DOLORES (LCSW)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:DOLORES
Last Name:FLOREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 HALF MOON DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-1125
Mailing Address - Country:US
Mailing Address - Phone:719-205-2800
Mailing Address - Fax:719-596-5027
Practice Address - Street 1:5210 HALF MOON DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80915-1125
Practice Address - Country:US
Practice Address - Phone:719-205-2800
Practice Address - Fax:719-596-5027
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9896041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical