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

Ashli Keanan Wallace

Individual provider Counselor · NPI 1114767837

Ashli Keanan Wallace is a Counselor in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

2107 Essex Ln
Colorado Springs, CO 80909-1425
Phone: (808) 778-0777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence AC-1241-33397408 (CO)

Record details

NPI number1114767837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2024
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

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