Healthcare Provider Details

I. General information

NPI: 1114565082
Provider Name (Legal Business Name): CARLI STREICH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15455 GLENEAGLE DR STE 210
COLORADO SPRINGS CO
80921-2593
US

IV. Provider business mailing address

15455 GLENEAGLE DR STE 210
COLORADO SPRINGS CO
80921-2593
US

V. Phone/Fax

Practice location:
  • Phone: 716-419-9176
  • Fax:
Mailing address:
  • Phone: 917-671-6419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0014641
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: