Healthcare Provider Details

I. General information

NPI: 1073194072
Provider Name (Legal Business Name): CONNECTIONS TRAUMA CONSULTING AND PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 SAN MATEO DR
COLORADO SPRINGS CO
80911-4011
US

IV. Provider business mailing address

1632 S CREEK RD
DERBY NY
14047-9723
US

V. Phone/Fax

Practice location:
  • Phone: 719-244-8484
  • Fax:
Mailing address:
  • Phone: 719-244-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN F STURGEON
Title or Position: OWNER
Credential: LPC
Phone: 719-244-8484