MEDICARE: CAMILLA BOYER LPC, LAC, MAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0005051	CO

General Provider Information

NPI Number	:	1528006384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLA BOYER LPC, LAC, MAC

Provider Business Mailing Address
First Line	:	PO BOX 9543
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-0543
Country	:	US
Telephone Number	:	303-667-1627
Fax Number	:

Provider Business Practice Location Address
First Line	:	7190 COLORADO BLVD STE 300
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-1808
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	04/02/2026

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