Healthcare Provider Details

I. General information

NPI: 1306002027
Provider Name (Legal Business Name): MICHELLE MORRISSEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2008
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 N MARKET PLZ STE 107-153
PUEBLO WEST CO
81007-1531
US

IV. Provider business mailing address

1021 N MARKET PLZ STE 107-153
PUEBLO WEST CO
81007-1531
US

V. Phone/Fax

Practice location:
  • Phone: 719-989-8431
  • Fax: 719-281-3182
Mailing address:
  • Phone: 719-989-8431
  • Fax: 719-281-3182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0000920
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: