Healthcare Provider Details

I. General information

NPI: 1720915796
Provider Name (Legal Business Name): SPRING EOP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

218 E WILLAMETTE AVE
COLORADO SPRINGS CO
80903-1146
US

IV. Provider business mailing address

731 N WEBER ST STE 215
COLORADO SPRINGS CO
80903-1019
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-5458
  • Fax:
Mailing address:
  • Phone:
  • 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: WILLIAM WALLS
Title or Position: OWNER/LPC
Credential:
Phone: 719-301-5458