Healthcare Provider Details

I. General information

NPI: 1174427165
Provider Name (Legal Business Name): A BRIDGE OVER TROUBLED WATER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6270 LEHMAN DR STE 262
COLORADO SPGS CO
80918-1450
US

IV. Provider business mailing address

1807 SHERINGHAM DR
COLORADO SPGS CO
80951-4767
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-5449
  • Fax: 719-434-9913
Mailing address:
  • Phone: 719-820-1200
  • Fax: 719-434-9913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SHERRIE A. STEVENS
Title or Position: SOCIAL WORKER/OWNER
Credential: LCSW
Phone: 719-301-5449