Healthcare Provider Details

I. General information

NPI: 1760684625
Provider Name (Legal Business Name): CELESTINA J GARRISON MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 KELLY JOHNSON BLVD STE 240
COLORADO SPRINGS CO
80920-3963
US

IV. Provider business mailing address

7520 TOPANGO CT
COLORADO SPRINGS CO
80920-4180
US

V. Phone/Fax

Practice location:
  • Phone: 719-480-8848
  • Fax: 719-941-8256
Mailing address:
  • Phone: 719-351-5274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0005316
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: