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Organization
CRISALIDA, INC
Active
Organization
CRISALIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY MCDANIEL LPC, LAC, MFTC (FOUNDER/EXECUTIVE DIRECTOR)
(719) 698-8036
Entity
Organization
Contact information
Practice address
4180 CENTER PARK DR, COLORADO SPRINGS, CO 80916-4505
(719) 418-9705
Mailing address
4180 CENTER PARK DR, COLORADO SPRINGS, CO 80916-4505
(720) 446-8701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/13/2023
Last updated
04/10/2025
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