Provider Demographics
NPI:1487100939
Name:JENNIFER COPELAND-WELP, LMFT
Entity type:Organization
Organization Name:JENNIFER COPELAND-WELP, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:COPELAND-WELP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:719-201-3048
Mailing Address - Street 1:3755 BRIARGATE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4194
Mailing Address - Country:US
Mailing Address - Phone:719-201-3048
Mailing Address - Fax:719-638-8115
Practice Address - Street 1:3755 BRIARGATE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4194
Practice Address - Country:US
Practice Address - Phone:719-201-3048
Practice Address - Fax:719-638-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0000561106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty