Healthcare Provider Details

I. General information

NPI: 1851901615
Provider Name (Legal Business Name): JENNIFER MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 POWERS CENTER PT STE 210
COLORADO SPRINGS CO
80920-7148
US

IV. Provider business mailing address

5410 POWERS CENTER PT STE 210
COLORADO SPRINGS CO
80920-7148
US

V. Phone/Fax

Practice location:
  • Phone: 719-203-2014
  • Fax:
Mailing address:
  • Phone: 719-203-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0002383
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: