Healthcare Provider Details

I. General information

NPI: 1346192796
Provider Name (Legal Business Name): FREEDOM RECOVERY CO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W NORTHERN AVE
PUEBLO CO
81004-3107
US

IV. Provider business mailing address

2020 N ACADEMY BLVD STE 385
COLORADO SPRINGS CO
80909-1567
US

V. Phone/Fax

Practice location:
  • Phone: 719-302-0368
  • Fax: 719-396-8353
Mailing address:
  • Phone: 719-302-0368
  • Fax: 719-396-8353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: VANESSA VARGAS
Title or Position: CEO
Credential:
Phone: 719-302-0368