Healthcare Provider Details

I. General information

NPI: 1891614871
Provider Name (Legal Business Name): ALPINE'S EMPOWERMENT AGENCY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
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: 719-347-1753
  • Fax:
Mailing address:
  • Phone: 314-516-3718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

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