Healthcare Provider Details

I. General information

NPI: 1407798465
Provider Name (Legal Business Name): INNER PEAK WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 CITADEL DR E STE 598
COLORADO SPRINGS CO
80909-5314
US

IV. Provider business mailing address

685 CITADEL DR E STE 598
COLORADO SPRINGS CO
80909-5314
US

V. Phone/Fax

Practice location:
  • Phone: 949-662-7497
  • Fax:
Mailing address:
  • Phone: 949-662-7497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARYNNE WITKIN
Title or Position: OWNER
Credential:
Phone: 949-662-7497