Healthcare Provider Details

I. General information

NPI: 1982554127
Provider Name (Legal Business Name): TOGETHER WE SHINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4412 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-2934
US

IV. Provider business mailing address

4412 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-2934
US

V. Phone/Fax

Practice location:
  • Phone: 719-648-9918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY NDAHAYO
Title or Position: ADMINISTRATOR
Credential:
Phone: 719-648-9918