Organization
SELVA SEXUAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN PACE MS, LPC-S, CST-S (CEO)
(907) 301-6652
Entity
Organization
Contact information
Practice address
640 HIGH LONESOME VW, COLORADO SPRINGS, CO 80906-7778
(907) 301-6652
Mailing address
640 HIGH LONESOME VW, COLORADO SPRINGS, CO 80906-7778
(907) 301-6652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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