MEDICARE: BOLD STEPS

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1386586873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOLD STEPS

Provider Business Mailing Address
First Line	:	6231 WESTVIEW CIR
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-5194
Country	:	US
Telephone Number	:	720-513-4202
Fax Number	:

Provider Business Practice Location Address
First Line	:	6231 WESTVIEW CIR
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-5194
Country	:	US
Telephone Number	:	720-513-4202
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEATHER HEACOX
Credential	:
Telephone Number	:	850-378-6308

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “BOLD STEPS ” Practice Location

Language	Start Address	Practice Location

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