Healthcare Provider Details

I. General information

NPI: 1023977600
Provider Name (Legal Business Name): KOHLER THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 OFFICE CLUB PT STE 233
COLORADO SPRINGS CO
80920-5017
US

IV. Provider business mailing address

6257 ASHMORE LN
COLORADO SPRINGS CO
80927-9674
US

V. Phone/Fax

Practice location:
  • Phone: 831-308-4403
  • Fax:
Mailing address:
  • Phone: 515-422-6150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HAILEY KOHLER
Title or Position: OWNER
Credential: LCSW
Phone: 515-422-6150