Provider Demographics
NPI:1689390098
Name:SAGE CHILD AND FAMILY THERAPY LLC
Entity Type:Organization
Organization Name:SAGE CHILD AND FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:CADICE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-626-1939
Mailing Address - Street 1:7281 S VALLEYHEAD CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5126
Mailing Address - Country:US
Mailing Address - Phone:916-626-1939
Mailing Address - Fax:
Practice Address - Street 1:7281 S VALLEYHEAD CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5126
Practice Address - Country:US
Practice Address - Phone:916-626-1939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty