Healthcare Provider Details

I. General information

NPI: 1437064425
Provider Name (Legal Business Name): BARBARA WHITEHART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 WESLEY DR
COLORADO SPRINGS CO
80917-5894
US

IV. Provider business mailing address

3909 WESLEY DR
COLORADO SPRINGS CO
80917-5894
US

V. Phone/Fax

Practice location:
  • Phone: 703-965-5334
  • Fax:
Mailing address:
  • Phone: 703-965-5334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: