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NPI 1891433421

NPI 1891433421 : WALLS COUNSELING PC : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1891433421
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    Entity Type          |    Organization 
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    Legal Business Name  |    WALLS COUNSELING PC 
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Dates
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    Enumeration Date     |    05/24/2022
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    731 N WEBER ST STE 205 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80903-1058
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    Country              |    US
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    Telephone            |    719-362-0558
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    731 N WEBER ST STE 205 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80903-1058
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    Country              |    US
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    Telephone            |    719-301-5458
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ COUNSELOR
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    Name                 |     WILL  WALLS 
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    Credential           |    MA, LPC, LAC, NCC
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    Telephone            |    719-339-6147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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