Individual ProviderClarence Keon BumpasCounselorBehavioral Health & Social Service ProvidersPractice Address2565 Airport Rd, Colorado Springs, CO 80910-3119(719) 632-3570(719) 666-4134PECOS EnrollmentBased on the most recent information from CMS, provider Clarence Keon Bumpas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1144871492Provider TypeIndividualFull NameBumpas, Clarence KeonGenderMaleSole ProprietorYesEnumeration Date9/26/2019Last Updated9/26/2019Contact InformationPractice LocationPractice Address2565 Airport Rd, Colorado Springs, CO 80910-3119Phone(719) 632-3570FaxUnlisted FaxMailing LocationMailing Address511 Comanche Village Dr, Fountain, CO 80817-1667Phone(719) 666-4134FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseNLC.0108216Colorado