Healthcare Provider Details

I. General information

NPI: 1992624241
Provider Name (Legal Business Name): COLLEEN ANNE MORLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 ASHLEY GARDEN BLVD
CHARLESTON SC
29414-9262
US

IV. Provider business mailing address

1019 ASHLEY GARDEN BLVD
CHARLESTON SC
29414-9262
US

V. Phone/Fax

Practice location:
  • Phone: 843-323-9710
  • Fax:
Mailing address:
  • Phone: 854-214-0839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number10870
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: