Healthcare Provider Details

I. General information

NPI: 1285588459
Provider Name (Legal Business Name): INNER REFLECTIVE THERAPY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 N ACADEMY BLVD STE 355
COLORADO SPRINGS CO
80909-1567
US

IV. Provider business mailing address

2020 N ACADEMY BLVD STE 355
COLORADO SPRINGS CO
80909-1567
US

V. Phone/Fax

Practice location:
  • Phone: 719-922-0362
  • Fax:
Mailing address:
  • Phone: 719-922-0362
  • 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: MRS. PETRA WRIGHT
Title or Position: OWNER
Credential: LPC, LAC
Phone: 719-922-0362