Healthcare Provider Details

I. General information

NPI: 1659202703
Provider Name (Legal Business Name): BRITTANY MARIE GUTIERREZ LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 N CEDAR ST
COLORADO SPRINGS CO
80903-3521
US

IV. Provider business mailing address

647 S LONE COWBOY DR
PUEBLO WEST CO
81007-6116
US

V. Phone/Fax

Practice location:
  • Phone: 719-470-5095
  • Fax:
Mailing address:
  • Phone: 719-470-5095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0009927070
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: