Provider Demographics
NPI:1467320309
Name:SALAS, IESHIA N (MSW, SWC)
Entity type:Individual
Prefix:
First Name:IESHIA
Middle Name:N
Last Name:SALAS
Suffix:
Gender:F
Credentials:MSW, SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1287 LAKE PLAZA DR STE 115
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3553
Mailing Address - Country:US
Mailing Address - Phone:719-470-0704
Mailing Address - Fax:
Practice Address - Street 1:1787 LAKE PLAZA
Practice Address - Street 2:SUITE 115
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916
Practice Address - Country:US
Practice Address - Phone:719-470-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical