Healthcare Provider Details

I. General information

NPI: 1245193226
Provider Name (Legal Business Name): SPECIALTY COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 STOVER ST BLDG C
FORT COLLINS CO
80525-4641
US

IV. Provider business mailing address

4025 RAWINS ST, CHEYENNE, WY 82001
CHEYENNE WI
82001
US

V. Phone/Fax

Practice location:
  • Phone: 970-942-3031
  • Fax:
Mailing address:
  • Phone: 307-426-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEC TOPKIS
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPCC
Phone: 435-640-7504