Healthcare Provider Details

I. General information

NPI: 1639664758
Provider Name (Legal Business Name): CANDACE RICHEY LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2018
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 ELKTON DR STE 202
COLORADO SPRINGS CO
80907-3599
US

IV. Provider business mailing address

PO BOX 64002
COLORADO SPRINGS CO
80962-4002
US

V. Phone/Fax

Practice location:
  • Phone: 719-963-2927
  • Fax:
Mailing address:
  • Phone: 719-963-2927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001278
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0016263
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: