Organization
CONIFER PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN FERGUSON LMFT (OWNER)
(720) 323-9219
Entity
Organization
Contact information
Practice address
26719 PLEASANT PARK RD STE 100, CONIFER, CO 80433-7753
(720) 323-9219
Mailing address
26719 PLEASANT PARK RD STE 100, CONIFER, CO 80433-7753
(720) 323-9219
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013446269
UNITED HEALTHCARE
—
05
—
969976
—
CO
Enumeration date
11/05/2019
Last updated
11/05/2019
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