Organization
ELK MEADOW ENDURING CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITA M JOHNSON LPC, LMFT, LAC, MAC (EXECUTIVE DIRECTOR/CLINICIAN)
(719) 452-0393
Entity
Organization
Contact information
Practice address
685 CITADEL DR E STE 510, COLORADO SPRINGS, CO 80909-5372
(719) 452-0393
Mailing address
PO BOX 62359, COLORADO SPRINGS, CO 80962-2359
(719) 452-0393
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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