Healthcare Provider Details

I. General information

NPI: 1023963667
Provider Name (Legal Business Name): IN-LIGHTENED JOURNEY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 CRICKLEWOOD LN
COLORADO SPRINGS CO
80910-1416
US

IV. Provider business mailing address

3560 CRICKLEWOOD LN
COLORADO SPRINGS CO
80910-1416
US

V. Phone/Fax

Practice location:
  • Phone: 719-502-1407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA I CRUM
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 719-502-1407