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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
Update your record

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