Healthcare Provider Details

I. General information

NPI: 1952221814
Provider Name (Legal Business Name): PERINATAL WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6270 LEHMAN DR
COLORADO SPRINGS CO
80918-1469
US

IV. Provider business mailing address

4193 VERNAL CIR
COLORADO SPRINGS CO
80916-5502
US

V. Phone/Fax

Practice location:
  • Phone: 719-660-3321
  • Fax:
Mailing address:
  • Phone: 719-660-3321
  • Fax:

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: AMANDA ALEXIA BAKER
Title or Position: PRESIDENT
Credential: LCSW
Phone: 719-660-3321