Healthcare Provider Details

I. General information

NPI: 1962343673
Provider Name (Legal Business Name): COLORADO MINDFULNESS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 BOULDER CRESCENT ST STE 201
COLORADO SPRINGS CO
80903-3358
US

IV. Provider business mailing address

10 BOULDER CRESCENT ST STE 201
COLORADO SPRINGS CO
80903-3358
US

V. Phone/Fax

Practice location:
  • Phone: 719-321-7003
  • Fax:
Mailing address:
  • Phone: 719-321-7003
  • 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: KRISTINA J WILLIAMS
Title or Position: OWNER
Credential: LPC
Phone: 719-321-7003