Healthcare Provider Details

I. General information

NPI: 1396609830
Provider Name (Legal Business Name): ACHIEVE WHOLE RECOVERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 N SHERMAN ST STE 900
DENVER CO
80203-1130
US

IV. Provider business mailing address

1115 ELKTON DR STE 300
COLORADO SPRINGS CO
80907-3597
US

V. Phone/Fax

Practice location:
  • Phone: 719-373-9703
  • Fax: 877-588-3465
Mailing address:
  • Phone: 719-373-9703
  • Fax: 877-588-3465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RYAN L COLE
Title or Position: CEO
Credential:
Phone: 719-357-6471