Healthcare Provider Details

I. General information

NPI: 1568963734
Provider Name (Legal Business Name): ASHLEY WEILAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY GARCIA AND ALSO SWAN

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7170 SAND CREST VW
COLORADO SPRINGS CO
80923-8811
US

IV. Provider business mailing address

7170 SAND CREST VW
COLORADO SPRINGS CO
80923-8811
US

V. Phone/Fax

Practice location:
  • Phone: 719-319-8347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0022034
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH15740
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: