| Passway Counseling Llc | |
|
12928 E 106th Way Commerce City CO 80022-0627 | |
| (303) 376-9066 | |
| Not Available |
| Full Name | Passway Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12928 E 106th Way, Commerce City, Colorado |
| Authorized Official Name and Position | Richard White (PROVIDER) |
| Authorized Official Contact | 3033769066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passway Counseling Llc 12928 E 106th Way Commerce City CO 80022-0627 Ph: () - | Passway Counseling Llc 12928 E 106th Way Commerce City CO 80022-0627 Ph: (303) 376-9066 |
| NPI Number | 1740867894 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 2769827013 |
|---|---|
| Medicare Enrollment ID | O20240227002007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740867894 | NPI | - | NPPES |
| 72120266 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Richard Steven White |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730423906 PECOS PAC ID: 1658716907 Enrollment ID: I20240227002560 |
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