Provider Demographics
NPI:1487073847
Name:PURSUITS COACHING AND PSYCHOTHERAPY
Entity type:Organization
Organization Name:PURSUITS COACHING AND PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARLA
Authorized Official - Middle Name:P
Authorized Official - Last Name:MACY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:720-304-2731
Mailing Address - Street 1:3106 GALILEO LN
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5463
Mailing Address - Country:US
Mailing Address - Phone:720-304-2731
Mailing Address - Fax:
Practice Address - Street 1:3106 GALILEO LN
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5463
Practice Address - Country:US
Practice Address - Phone:720-304-2731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLMFT 186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty