Healthcare Provider Details

I. General information

NPI: 1639016512
Provider Name (Legal Business Name): DESPRINGS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S TEJON ST STE 1100
COLORADO SPRINGS CO
80903-2253
US

IV. Provider business mailing address

102 S TEJON ST STE 1100
COLORADO SPRINGS CO
80903-2253
US

V. Phone/Fax

Practice location:
  • Phone: 719-725-9774
  • Fax:
Mailing address:
  • Phone: 719-725-9774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. GRACE CHINONYEREM THOMPSON
Title or Position: PMHNP
Credential: NURSE PRACTITIONER
Phone: 719-725-9774