| Collaborative Journeys, Llc | |
|
36533 County Road 153 Agate CO 80101-9614 | |
| (720) 560-1450 | |
| Not Available |
| Full Name | Collaborative Journeys, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 36533 County Road 153, Agate, Colorado |
| Authorized Official Name and Position | Dianna Gwendolyn Ducote-sabey (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7205601450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Journeys, Llc 36533 County Road 153 Agate CO 80101-9614 Ph: (720) 560-1450 | Collaborative Journeys, Llc 36533 County Road 153 Agate CO 80101-9614 Ph: (720) 560-1450 |
| NPI Number | 1760701742 |
|---|---|
| Provider Enumeration Date | 05/30/2010 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760701742 | NPI | - | NPPES |
| 11975042 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2626 (Colorado) | Primary |