Healthcare Provider Details

I. General information

NPI: 1225946791
Provider Name (Legal Business Name): SHIFT HAPPENS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 ANVIL DR
COLORADO SPRINGS CO
80925-1034
US

IV. Provider business mailing address

4512 ANVIL DR
COLORADO SPRINGS CO
80925-1034
US

V. Phone/Fax

Practice location:
  • Phone: 720-260-4796
  • Fax:
Mailing address:
  • Phone: 720-260-4796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANGELINA FACKELMAN
Title or Position: LICENSED PROFESSIONAL COUNSELOR CAN
Credential: LPCC, ADDC
Phone: 201-696-2420