Healthcare Provider Details

I. General information

NPI: 1629903273
Provider Name (Legal Business Name): TJASHA EARLE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7680 GODDARD ST STE 120
COLORADO SPRINGS CO
80920-8233
US

IV. Provider business mailing address

7680 GODDARD ST STE 120
COLORADO SPRINGS CO
80920-8233
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-9032
  • Fax:
Mailing address:
  • Phone: 719-300-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0013242
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: