| Passages Professional Services, Llc | |
|
1808 N Colorado St Decatur TX 76234-3007 | |
| (972) 310-9506 | |
| Not Available |
| Full Name | Passages Professional Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1808 N Colorado St, Decatur, Texas |
| Authorized Official Name and Position | Jeffery Lynn Moffitt (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 9723109506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passages Professional Services, Llc 1808 N Colorado St Decatur TX 76234-3007 Ph: (972) 310-9506 | Passages Professional Services, Llc 1808 N Colorado St Decatur TX 76234-3007 Ph: (972) 310-9506 |
| NPI Number | 1447634944 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447634944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3207 (Texas) | Primary |
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