Healthcare Provider Details

I. General information

NPI: 1164964813
Provider Name (Legal Business Name): ALPINE'S EMPOWERMENT AGENCY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 AUSTIN BLUFFS PKWY STE 311023
COLORADO SPRINGS CO
80918-6671
US

IV. Provider business mailing address

3609 AUSTIN BLUFFS PKWY STE 311023
COLORADO SPRINGS CO
80918-6671
US

V. Phone/Fax

Practice location:
  • Phone: 314-516-3718
  • Fax: 833-205-9752
Mailing address:
  • Phone: 314-516-3718
  • Fax: 833-205-9752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHAWNEE NEAL
Title or Position: OWNER
Credential: LCSW, LAC
Phone: 314-516-3718