Healthcare Provider Details

I. General information

NPI: 1083524581
Provider Name (Legal Business Name): ONE DAY AT A TIME COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 BOBCAT CT
COLORADO SPRINGS CO
80918-5675
US

IV. Provider business mailing address

CMR 480 BOX 72
APO AE
09128-1001
US

V. Phone/Fax

Practice location:
  • Phone: 719-900-3153
  • Fax:
Mailing address:
  • Phone:
  • 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: MR. JERROD GUIDRY
Title or Position: OWNER
Credential:
Phone: 719-412-7011