Healthcare Provider Details

I. General information

NPI: 1649916198
Provider Name (Legal Business Name): ALEXIA S FOTOPOULOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7660 GODDARD ST STE 130
COLORADO SPRINGS CO
80920-8231
US

IV. Provider business mailing address

7435 GUANELLA PASS GRV
COLORADO SPRINGS CO
80923-4271
US

V. Phone/Fax

Practice location:
  • Phone: 719-370-0710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: