Healthcare Provider Details

I. General information

NPI: 1205778149
Provider Name (Legal Business Name): 719 DOES RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 JOYCE PL
COLORADO SPRINGS CO
80916-3146
US

IV. Provider business mailing address

4460 JOYCE PL
COLORADO SPRINGS CO
80916-3146
US

V. Phone/Fax

Practice location:
  • Phone: 719-821-3936
  • Fax:
Mailing address:
  • Phone: 719-821-3936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILLIP BRETT STEPHENS
Title or Position: OWNER
Credential: PEER SPECIALIST,QBHA
Phone: 719-821-3936