Healthcare Provider Details

I. General information

NPI: 1497680946
Provider Name (Legal Business Name): WALLS COUNSELING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E SAINT VRAIN ST
COLORADO SPRINGS CO
80903-1123
US

IV. Provider business mailing address

731 N WEBER ST STE 205
COLORADO SPRINGS CO
80903-1058
US

V. Phone/Fax

Practice location:
  • Phone: 719-362-0558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM WALLS
Title or Position: OWNER
Credential:
Phone: 719-339-6147