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NPI Code Detail

MEDICARE: CONIFER PLAY THERAPY, LLC

MEDICARE: CONIFER PLAY THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144864943
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONIFER PLAY THERAPY, LLC
Provider Business Mailing Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-281-9789
Fax Number :
Provider Business Practice Location Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-281-9789
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. LAUREN FERGUSON
Credential : LMFT
Telephone Number : 720-323-9219
Provider Enumeration Date : 11/05/2019
Last Update Date : 05/28/2026

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Directions to “CONIFER PLAY THERAPY, LLC ” Practice Location

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