Provider Demographics
NPI:1215615711
Name:ITSCO, LLC
Entity type:Organization
Organization Name:ITSCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALCARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-444-8726
Mailing Address - Street 1:5373 N UNION BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-2073
Mailing Address - Country:US
Mailing Address - Phone:833-444-8726
Mailing Address - Fax:
Practice Address - Street 1:437 WINDCHIME PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1984
Practice Address - Country:US
Practice Address - Phone:833-444-8726
Practice Address - Fax:833-444-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty