Provider Demographics
NPI:1548541345
Name:LOEFFELHOLZ, TEEMA BOIES (LCPC)
Entity type:Individual
Prefix:
First Name:TEEMA
Middle Name:BOIES
Last Name:LOEFFELHOLZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W MENDENHALL ST
Mailing Address - Street 2:SUITE #10
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3479
Mailing Address - Country:US
Mailing Address - Phone:406-219-0656
Mailing Address - Fax:
Practice Address - Street 1:313 W MENDENHALL ST
Practice Address - Street 2:SUITE #10
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3479
Practice Address - Country:US
Practice Address - Phone:406-219-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health