Healthcare Provider Details

I. General information

NPI: 1669184321
Provider Name (Legal Business Name): MARGARET VAN HUYSTEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET HERBERT

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1618 W COLORADO AVE
COLORADO SPRINGS CO
80904-4029
US

IV. Provider business mailing address

3280 E WOODMEN RD STE 100
COLORADO SPRINGS CO
80920-3586
US

V. Phone/Fax

Practice location:
  • Phone: 833-379-5206
  • Fax: 719-452-3580
Mailing address:
  • Phone: 833-379-5206
  • Fax: 719-452-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMSCSW.00000036
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number218653
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: