=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619340932
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A WORK IN PROGRESS FAMILY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/09/2015
-----------------------------------------------------
Last Update Date | 11/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1527 E JACKSON ST
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80907-6514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-641-8805
-----------------------------------------------------
Fax | 719-687-1479
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1527 E JACKSON ST
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80907-6514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-641-8805
-----------------------------------------------------
Fax | 719-687-1479
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MISS SANDRA PLOTNER
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 719-641-8805
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 945
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------