Healthcare Provider Details

I. General information

NPI: 1437018876
Provider Name (Legal Business Name): LIO ZAJAC LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1143 MANITOU AVE APT 1
MANITOU SPRINGS CO
80829-1777
US

IV. Provider business mailing address

528 OBSERVATORY DR
COLORADO SPRINGS CO
80904-3970
US

V. Phone/Fax

Practice location:
  • Phone: 206-794-9981
  • Fax:
Mailing address:
  • Phone: 206-794-9981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0023311
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: