Healthcare Provider Details

I. General information

NPI: 1235061664
Provider Name (Legal Business Name): HENRY SHULER LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 KELLY JOHNSON BLVD STE 330
COLORADO SPRINGS CO
80920-3983
US

IV. Provider business mailing address

1465 KELLY JOHNSON BLVD STE 330
COLORADO SPRINGS CO
80920-3983
US

V. Phone/Fax

Practice location:
  • Phone: 719-362-0796
  • Fax:
Mailing address:
  • Phone: 630-945-1425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024561
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: