Healthcare Provider Details

I. General information

NPI: 1215503776
Provider Name (Legal Business Name): CONNECT COUNSELING & PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 BEACON LITE RD UNIT 140
MONUMENT CO
80132-9146
US

IV. Provider business mailing address

430 BEACON LITE RD UNIT 140
MONUMENT CO
80132-9146
US

V. Phone/Fax

Practice location:
  • Phone: 719-370-3839
  • Fax:
Mailing address:
  • Phone: 719-370-3839
  • Fax:

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: DR. CHRISTINE MAYUMI HAMILTON
Title or Position: LICENSED PSYCHOLOGIST
Credential: PSYD
Phone: 719-370-3839