Healthcare Provider Details

I. General information

NPI: 1396384087
Provider Name (Legal Business Name): GATEWAY TO SUCCESS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 PRINTERS PKWY STE 200
COLORADO SPRINGS CO
80910-6102
US

IV. Provider business mailing address

PO BOX 7271
WOODLAND PARK CO
80863-0203
US

V. Phone/Fax

Practice location:
  • Phone: 719-374-1650
  • Fax: 719-896-2874
Mailing address:
  • Phone: 719-374-1650
  • Fax: 719-896-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN S MORGENTHALER
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW, LAC, DVCS
Phone: 719-374-1650