Soldier Life Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4879 Issued in CO

Legal business name

SOLDIER LIFE CENTER

Practice address

810 Arcturus Dr
Colorado Springs, CO 80905-7846

Phone

(719) 360-8828

NPI assigned

Jan 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stanford Scott Sutherland, L.P.C.

Title

Co-Director

Phone

(719) 477-3758

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1992035547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ARCTURUS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057846",
            "telephone_number": "719-360-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ARCTURUS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057846",
            "telephone_number": "719-360-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLDIER LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "719-477-3758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darielle Solano, FNP
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• Parker Solano
• Royce Solano, MD
• Solaris HC Co Inc
• Gregory M Solich, DDS
• Solid Foundations Mental Health and Supervision, LLC
• Aimee Marie Solis, LPC, LCPC
• Dailys Solis
• Lexy Solis

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.