| Passages Therapy | |
|
600 S. Airport Rd. Bldg A Ste G Longmont CO 80503-6476 | |
| (303) 630-9433 | |
| Not Available |
| Full Name | Passages Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 600 S. Airport Rd. Bldg A Ste G, Longmont, Colorado |
| Authorized Official Name and Position | Tamara Graff (OWNER) |
| Authorized Official Contact | 3036309433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passages Therapy 629 Stonebridge Dr Longmont CO 80503-7779 Ph: (303) 630-9433 | Passages Therapy 600 S. Airport Rd. Bldg A Ste G Longmont CO 80503-6476 Ph: (303) 630-9433 |
| NPI Number | 1780283150 |
|---|---|
| Provider Enumeration Date | 10/18/2020 |
| Last Update Date | 10/18/2020 |
| Certification Date | 10/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780283150 | NPI | - | NPPES |
| 58130250 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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