MEDICARE: OCD AND ANXIETY COLORADO LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1366240186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCD AND ANXIETY COLORADO LLC

Provider Business Mailing Address
First Line	:	1075 E SOUTH BOULDER RD STE 225
Second Line	:
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-2562
Country	:	US
Telephone Number	:	303-554-5609
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 E SOUTH BOULDER RD STE 225
Second Line	:
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-2562
Country	:	US
Telephone Number	:	303-554-5609
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALISON BERNARD GARZA
Credential	:	LCSW
Telephone Number	:	303-554-5609

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	08/22/2025

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