Healthcare Provider Details

I. General information

NPI: 1326670142
Provider Name (Legal Business Name): NORTH SPRINGS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 DUBLIN BLVD STE C
COLORADO SPRINGS CO
80918-1224
US

IV. Provider business mailing address

6472 BALANCE CIR
COLORADO SPRINGS CO
80923-4463
US

V. Phone/Fax

Practice location:
  • Phone: 719-244-5805
  • Fax: 719-960-2485
Mailing address:
  • Phone: 719-244-5805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW M PIERCE
Title or Position: LPC
Credential:
Phone: 719-244-5805