CRISALIDA INC NPI 1841991353

NPI Information

  • NPI: 1841991353
  • Provider Name: CRISALIDA, INC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 4180 CENTER PARK DR
    COLORADO SPRINGS, CO
    ZIP 80916
  • Phone: (719) 418-9705

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NPI Details

CRISALIDA, INC is an addiction (substance use disorder) counselor in Colorado Springs, CO. CRISALIDA, INC NPI is 1841991353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4180 CENTER PARK DR
COLORADO SPRINGS, CO
ZIP 80916-505
Phone: (719) 418-9705

The provider's authorized official is Glory Mcdaniel .
The authorized official title is Founder/executive Director and has the following contact phone number (719) 698-8036.

The enumeration date for this NPI number is 3/13/2023 and was last updated on 4/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YP2500XCounselorProfessionalNo
3106H00000XMarriage & Family TherapistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19000216266MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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