Organization
ELK MEADOW ENDURING CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITA M JOHNSON LPC, LMFT, LAC (CLINICAL DIRECTOR)
(303) 808-8466
Entity
Organization
Contact information
Practice address
685 CITADEL DR E STE 510, COLORADO SPRINGS, CO 80909-5372
(303) 808-8466
Mailing address
PO BOX 62359, COLORADO SPRINGS, CO 80962-2359
(303) 808-8466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/27/2024
Last updated
11/21/2025
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