Bestowed Fortitude Counseling Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Colorado Springs, CO. Organization (NPI-2).
NPI number1013762210
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1013762210
- Entity type
- Organization (NPI-2)
- Legal business name
- Bestowed Fortitude Counseling Services
- Organization subpart
- No
- Enumeration date
- Apr 22, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
10915 Black Forest RdColorado Springs, CO 80908-3935
Phone 719-726-5530
Mailing address
11605 Meridian Market VwPmb138
Falcon, CO 80831
Phone 719-726-5530
Authorized official
William J Christensen
Owner
7197265530
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