Healthcare Provider Details

I. General information

NPI: 1669388831
Provider Name (Legal Business Name): PRESTON COUNSELING & PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 REMINGTON ST STE 201
FORT COLLINS CO
80524-3089
US

IV. Provider business mailing address

1001A E HARMONY RD # 241
FORT COLLINS CO
80525-3354
US

V. Phone/Fax

Practice location:
  • Phone: 970-430-6638
  • Fax:
Mailing address:
  • Phone: 970-430-6638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SHANNON PRESTON
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MA, LPC, LMHC
Phone: 970-430-6638