Individual ProviderConnie BazilCounselorBehavioral Health & Social Service ProvidersPractice Address179 S Parkside Dr, Colorado Springs, CO 80910-3130(719) 492-2114(719) 351-8004PECOS EnrollmentBased on the most recent information from CMS, provider Connie Bazil 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 ID1215055025Provider TypeIndividualFull NameBazil, ConnieTitleDr.CredentialAUD, PSYDGenderFemaleSole ProprietorNoEnumeration Date3/27/2007Last Updated9/3/2013Contact InformationPractice LocationPractice Address179 S Parkside Dr, Colorado Springs, CO 80910-3130Phone(719) 492-2114FaxUnlisted FaxMailing LocationMailing Address5835 Canyon Reserve Heights, Colorado Springs, CO 80919Phone(719) 351-8004FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense13701ColoradoCode231H00000XDescriptionAudiologistSpeech, Language and Hearing Service ProvidersLicense517Colorado