Healthcare Provider Details

I. General information

NPI: 1689504003
Provider Name (Legal Business Name): SUNSHINE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 STONEWALL HTS
COLORADO SPRINGS CO
80909-1735
US

IV. Provider business mailing address

2343 W 19TH ST
PUEBLO CO
81003-5125
US

V. Phone/Fax

Practice location:
  • Phone: 719-977-3000
  • Fax:
Mailing address:
  • Phone: 719-977-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CALLICO S JONES
Title or Position: CLINICAL SOCIAL WORKER
Credential: DSW, LCSW
Phone: 719-977-3000