Provider Demographics
NPI:1013773787
Name:MARIA ROLLAND LLC
Entity Type:Organization
Organization Name:MARIA ROLLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:ROLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, SWC
Authorized Official - Phone:719-301-9858
Mailing Address - Street 1:8550 AVENS CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5711
Mailing Address - Country:US
Mailing Address - Phone:314-238-6805
Mailing Address - Fax:719-314-1719
Practice Address - Street 1:300 GARDEN OF THE GODS RD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4248
Practice Address - Country:US
Practice Address - Phone:719-301-9858
Practice Address - Fax:719-314-1719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty