Organization
SPECIAL KIDS SPECIAL FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K ELLEGARD LPC (EXECUTIVE DIRECTOR)
(719) 447-8983
Entity
Organization
Contact information
Practice address
424 W PIKES PEAK AVE, COLORADO SPRINGS, CO 80905-1525
(719) 447-8983
(719) 447-9482
Mailing address
3830 STETSON CT, COLORADO SPRINGS, CO 80907-4906
(720) 988-9511
(719) 345-1820
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629515507
—
CO
05
—
92608264
—
CO
Enumeration date
06/28/2018
Last updated
06/28/2018
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