Healthcare Provider Details

I. General information

NPI: 1508721713
Provider Name (Legal Business Name): PASSAGES FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S AIRPORT RD STE G
LONGMONT CO
80503-6424
US

IV. Provider business mailing address

PO BOX 1534
SPRING VALLEY CA
91979-1534
US

V. Phone/Fax

Practice location:
  • Phone: 303-630-9433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAMARA GRAFF
Title or Position: PRESIDENT
Credential: LMFT
Phone: 619-784-1032