Healthcare Provider Details

I. General information

NPI: 1811818727
Provider Name (Legal Business Name): BRIGHT SPACE COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 S MURRAY BLVD
COLORADO SPRINGS CO
80916-4502
US

IV. Provider business mailing address

1611 S MURRAY BLVD
COLORADO SPRINGS CO
80916-4502
US

V. Phone/Fax

Practice location:
  • Phone: 719-645-5637
  • Fax: 719-312-7900
Mailing address:
  • Phone: 719-645-5637
  • Fax: 719-312-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARIA DEL PILAR BERGER
Title or Position: OWNER
Credential:
Phone: 719-645-5000