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Organization

CRISALIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORY MCDANIEL LPC, LAC (EXECUTIVE DIRECTOR)
(303) 519-9218
Entity
Organization

Contact information

Practice address
4180 CENTER PARK DRIVE, COLORADO SPRINGS, CO 80916-4505
(719) 698-8036
Mailing address
4180 CENTER PARK DRIVE, COLORADO SPRINGS, CO 80916-4505
(719) 698-8036

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YP2500X
Professional Counselor
251B00000X
Case Management Agency

Other

Enumeration date
01/02/2026
Last updated
01/02/2026
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