Passages Professional Services, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3207 Issued in TX

Legal business name

PASSAGES PROFESSIONAL SERVICES, LLC

Practice address

1808 N Colorado St
Decatur, TX 76234-3007

Phone

(972) 310-9506

NPI assigned

Jul 14, 2015

Last updated

Oct 3, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffery Lynn Moffitt, LMFT

Title

Director/President

Phone

(972) 310-9506

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1447634944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 N COLORADO ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343007",
            "telephone_number": "972-310-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 N COLORADO ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343007",
            "telephone_number": "972-310-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "972-310-9506",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Decatur, TX
• Providers in Decatur, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.