Organization
FORMATION COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE BOERTJE LCPC, NCC, LPC (FOUNDER, THERAPIST)
(312) 369-9422
Entity
Organization
Contact information
Practice address
128 S TEJON ST STE 405, COLORADO SPRINGS, CO 80903-2212
(312) 369-9422
(719) 755-4662
Mailing address
128 S TEJON ST STE 405, COLORADO SPRINGS, CO 80903-2212
(312) 369-9422
(719) 755-4662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
11/10/2025
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