Provider Demographics
NPI:1891957767
Name:MORGAN, MARNIE CHRISTIE
Entity Type:Individual
Prefix:MS
First Name:MARNIE
Middle Name:CHRISTIE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIRCLE
Mailing Address - Street 2:EVANS ARMY COMMUNITY HOSPITAL
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80913-5000
Mailing Address - Country:US
Mailing Address - Phone:719-526-7879
Mailing Address - Fax:719-526-7759
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:ROOM 4911
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80913-4603
Practice Address - Country:US
Practice Address - Phone:719-526-7879
Practice Address - Fax:719-526-7759
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001007258106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist