# NEURODIVERGENT MINDS

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

## Provider details

- **NPI number:** 1992491708
- **Authorized official:** KIERSTEN V SIPPIO PSYD (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (504) 234-9433

## Contact information

- **Practice address:** 4820 RUSINA RD STE A, COLORADO SPRINGS, CO 80907-8127
- **Practice address phone:** (504) 234-9433
- **Mailing address:** 7280 BODEGA PT APT 2232, COLORADO SPRINGS, CO 80920-6934
- **Mailing address phone:** (504) 234-9433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2023
- **Last updated:** 04/14/2023