| NPI | 1528995511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALLS Owner/Lpc 719-339-6147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |