Healthcare Provider Details

I. General information

NPI: 1205751328
Provider Name (Legal Business Name): CHIARA LIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 N ACADEMY BLVD STE 100
COLORADO SPRINGS CO
80909-2733
US

IV. Provider business mailing address

4430 N RALEIGH ST
DENVER CO
80212-2332
US

V. Phone/Fax

Practice location:
  • Phone: 719-246-5693
  • 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:
Title or Position:
Credential:
Phone: