Individual
ALICE ALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LCSW
Contact information
Practice address
7075 CAMPUS DR STE 202, COLORADO SPRINGS, CO 80920-6524
(719) 888-6827
(719) 623-1149
Mailing address
7075 CAMPUS DR STE 202, COLORADO SPRINGS, CO 80920-6524
(719) 888-6827
(719) 623-1149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09930642
CO
1041C0700X
Clinical Social Worker
LW61519220
WA
Other
Enumeration date
07/15/2021
Last updated
01/22/2026
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