Healthcare Provider Details

I. General information

NPI: 1427964212
Provider Name (Legal Business Name): TANIA L MULKEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1788 ROSE QUARTZ HTS
COLORADO SPRINGS CO
80908-5264
US

IV. Provider business mailing address

1788 ROSE QUARTZ HTS
COLORADO SPRINGS CO
80908-5264
US

V. Phone/Fax

Practice location:
  • Phone: 210-609-9019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0024195
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: