Organization
SPECIAL KIDS SPECIAL FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K ELLEGARD LPC (EXECUTIVE DIRECTOR AND CLINICIAN)
(719) 447-8983
Entity
Organization
Contact information
Practice address
424 W PIKES PEAK AVE, COLORADO SPRINGS, CO 80905-1525
(719) 447-8983
(719) 447-9482
Mailing address
3830 STETSON CT, COLORADO SPRINGS, CO 80907-4906
(720) 988-9511
(719) 345-1780
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
CO
385HR2055X
Child Mental Illness Respite Care
43184
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43184
FOSTER CARE LICENSE
CO
05
—
92608264
—
CO
Enumeration date
06/28/2018
Last updated
06/28/2018
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