Provider Demographics
NPI:1518194778
Name:DEBORAH A. GALASKA, LMFT, P.C.
Entity Type:Organization
Organization Name:DEBORAH A. GALASKA, LMFT, P.C.
Other - Org Name:A SAFE SPACE TO HEAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GALASKA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMFT
Authorized Official - Phone:719-646-7854
Mailing Address - Street 1:2790 N ACADEMY BLVD
Mailing Address - Street 2:STE 344
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5337
Mailing Address - Country:US
Mailing Address - Phone:719-260-1117
Mailing Address - Fax:719-260-1118
Practice Address - Street 1:11420 CRANSTON DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-6868
Practice Address - Country:US
Practice Address - Phone:719-646-7854
Practice Address - Fax:719-495-7965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000177236Medicaid
CO9000153941Medicaid