Healthcare Provider Details

I. General information

NPI: 1003057555
Provider Name (Legal Business Name): FOUR FEATHERS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 W BIJOU ST STE 103
COLORADO SPRINGS CO
80905-1347
US

IV. Provider business mailing address

332 W BIJOU ST STE 103
COLORADO SPRINGS CO
80905-1347
US

V. Phone/Fax

Practice location:
  • Phone: 719-761-1655
  • Fax: 855-332-4436
Mailing address:
  • Phone: 719-761-1655
  • Fax: 719-687-7377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC4450
License Number StateCO

VIII. Authorized Official

Name: TERESITA MARIE TIRONA
Title or Position: OWNER
Credential: LPC
Phone: 719-761-1655