Healthcare Provider Details

I. General information

NPI: 1386507978
Provider Name (Legal Business Name): LEARN 2 LOVE YOURSELF COUNSELING & EMPOWERMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 N WEBER ST STE 300
COLORADO SPRINGS CO
80903-1039
US

IV. Provider business mailing address

723 N WEBER ST STE 300
COLORADO SPRINGS CO
80903-1039
US

V. Phone/Fax

Practice location:
  • Phone: 719-330-0005
  • Fax:
Mailing address:
  • Phone: 719-330-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EBONI DAVIS
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 719-330-0005