Healthcare Provider Details

I. General information

NPI: 1457267254
Provider Name (Legal Business Name): COLORADO TELETHERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7255 CHURCHWOOD CIR
COLORADO SPRINGS CO
80918-6333
US

IV. Provider business mailing address

7255 CHURCHWOOD CIR
COLORADO SPRINGS CO
80918-6333
US

V. Phone/Fax

Practice location:
  • Phone: 719-639-4089
  • Fax:
Mailing address:
  • Phone: 719-639-4089
  • 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: CHARITY MILLS
Title or Position: OWNER
Credential: LPC
Phone: 719-232-3133