Healthcare Provider Details

I. General information

NPI: 1023947256
Provider Name (Legal Business Name): CARLY HORKMAN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3361 N ACADEMY BLVD
COLORADO SPRINGS CO
80917-5103
US

IV. Provider business mailing address

5805 DELMONICO DR UNIT 142
COLORADO SPRINGS CO
80919-2232
US

V. Phone/Fax

Practice location:
  • Phone: 719-285-7466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024595
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: