Healthcare Provider Details

I. General information

NPI: 1316883739
Provider Name (Legal Business Name): A LEVEL UP RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 S TEJON ST
COLORADO SPRINGS CO
80903-4238
US

IV. Provider business mailing address

4925 LELAND PT
COLORADO SPRINGS CO
80916-1637
US

V. Phone/Fax

Practice location:
  • Phone: 929-303-6364
  • Fax:
Mailing address:
  • Phone: 929-303-6364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MARCUS HANSON
Title or Position: CEO
Credential:
Phone: 929-303-6364