Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shadow Mountain LLC

Organization Community/Behavioral Health Agency · NPI 1801226709

Shadow Mountain LLC is a Community/Behavioral Health Agency in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2013.

Licensed in
CO
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1155 Kelly Johnson Blvd Ste 201
Colorado Springs, CO 80920-3932
Phone: (719) 418-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 1746-01 (CO)

Record details

NPI number1801226709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Holub — Vice President · (925) 389-8591
Other names Shadow Mountain Recovery, Colorado Springs
NPI enumeratedNovember 14, 2013
Last updated in NPPESFebruary 27, 2017
Mailing addressPo Box 830525, Department # Sf 58, Birmingham, AL 35283-0525

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