Healthcare Provider Details

I. General information

NPI: 1396325650
Provider Name (Legal Business Name): AGATA KRALA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4588N GUNBARREL DR
COLORADO SPRINGS CO
80925-1033
US

IV. Provider business mailing address

4588 GUNBARREL DR
COLORADO SPRINGS CO
80925-1033
US

V. Phone/Fax

Practice location:
  • Phone: 719-766-8136
  • Fax:
Mailing address:
  • Phone: 719-766-8136
  • 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:
Title or Position:
Credential:
Phone: