MEDICARE: WORKING FUSION AT MILL STREET

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1528896974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKING FUSION AT MILL STREET

Provider Business Mailing Address
First Line	:	1816 WOOD AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-7357
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 W FOUNTAIN BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4132
Country	:	US
Telephone Number	:	719-740-1044
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ASHLEY BURNS
Credential	:
Telephone Number	:	719-740-1044

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	11/20/2025

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Directions to “WORKING FUSION AT MILL STREET ” Practice Location

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