Healthcare Provider Details

I. General information

NPI: 1194648691
Provider Name (Legal Business Name): ALPINE'S EMPOWERMENT AGENCY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 AUSTIN BLUFFS PKWY STE 311023
COLORADO SPRINGS CO
80918-6671
US

IV. Provider business mailing address

3609 AUSTIN BLUFFS PKWY STE 311023
COLORADO SPRINGS CO
80918-6671
US

V. Phone/Fax

Practice location:
  • Phone: 719-347-1753
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAWNEE NEAL
Title or Position: CEO & CLINICIAN
Credential:
Phone: 314-516-3718