# CHEYENNE MOUNTAIN COUNSELING & WELLNESS CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043649429
- **Authorized official:** MRS. MELODIE K MACK LPC, LMFT (OWNER, COUNSELOR)
- **Authorized official phone:** (719) 434-1088

## Contact information

- **Practice address:** 108 E CHEYENNE RD STE 206, COLORADO SPRINGS, CO 80906-2535
- **Practice address phone:** (719) 434-1088
- **Practice address fax:** (719) 434-1166
- **Mailing address:** 108 E CHEYENNE RD STE 206, COLORADO SPRINGS, CO 80906-2535
- **Mailing address phone:** (719) 434-1088
- **Mailing address fax:** (719) 434-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 6389 | CO | — |
| 106H00000X | Marriage & Family Therapist | 1069 | CO | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013