Provider Demographics
NPI:1821635350
Name:MORGAN, RYANN TANNER (MA, LPC)
Entity type:Individual
Prefix:
First Name:RYANN
Middle Name:TANNER
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GARDEN CTR STE 10
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1735
Mailing Address - Country:US
Mailing Address - Phone:720-440-2130
Mailing Address - Fax:
Practice Address - Street 1:80 GARDEN CTR STE 10
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1735
Practice Address - Country:US
Practice Address - Phone:720-440-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-03
Last Update Date:2025-06-03
Deactivation Date:2024-02-01
Deactivation Code:
Reactivation Date:2024-08-22
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health