Healthcare Provider Details

I. General information

NPI: 1346020120
Provider Name (Legal Business Name): CAROLYN ABRAHAMZON M.S., NCC, LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6820 SASSER DR APT A
COLORADO SPRINGS CO
80902-4342
US

IV. Provider business mailing address

6820 SASSER DR APT A
COLORADO SPRINGS CO
80902-4342
US

V. Phone/Fax

Practice location:
  • Phone: 803-250-6513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12277
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: