Provider Demographics
NPI:1073393419
Name:MARRIAGE & FAMILY THERAPY SERVICES INC
Entity Type:Organization
Organization Name:MARRIAGE & FAMILY THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:719-332-3394
Mailing Address - Street 1:11417 CRANSTON DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-6869
Mailing Address - Country:US
Mailing Address - Phone:719-332-3394
Mailing Address - Fax:
Practice Address - Street 1:7495 MCLAUGHLIN RD STE 200
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-4714
Practice Address - Country:US
Practice Address - Phone:719-332-3394
Practice Address - Fax:719-886-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty