Healthcare Provider Details

I. General information

NPI: 1497371967
Provider Name (Legal Business Name): LINDSAY DEAN CAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS CO
80918-4038
US

IV. Provider business mailing address

5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS CO
80918-4038
US

V. Phone/Fax

Practice location:
  • Phone: 719-434-2275
  • Fax:
Mailing address:
  • Phone: 719-434-2275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: