Healthcare Provider Details
I. General information
NPI: 1982531935
Provider Name (Legal Business Name): WALLS COUNSELING PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
218 E WILLAMETTE AVE
COLORADO SPRINGS CO
80903-1146
US
IV. Provider business mailing address
731 N WEBER ST STE 205
COLORADO SPRINGS CO
80903-1058
US
V. Phone/Fax
- Phone: 719-362-0558
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
WALLS
Title or Position: OWNER/LPC
Credential:
Phone: 719-339-6147