Organization
PASSAGES PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY LYNN MOFFITT LMFT (DIRECTOR/PRESIDENT)
(972) 310-9506
Entity
Organization
Contact information
Practice address
1808 N COLORADO ST, DECATUR, TX 76234-3007
(972) 310-9506
Mailing address
1808 N COLORADO ST, DECATUR, TX 76234-3007
(972) 310-9506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3207
TX
Other
Enumeration date
07/14/2015
Last updated
10/03/2019
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