Healthcare Provider Details

I. General information

NPI: 1942096532
Provider Name (Legal Business Name): KRYSTAL J VALENCIA CPFS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELAINE WOZNIAK NP

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 PETRA HTS
COLORADO SPRINGS CO
80916-4535
US

IV. Provider business mailing address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 719-356-8295
  • Fax:
Mailing address:
  • Phone: 970-413-4712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: