| 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 |