COKATA LTD. LIABILITY COMPANY NPI 1114139565

NPI Information

NPI: 1114139565
Provider Name: COKATA LTD. LIABILITY COMPANY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
138 RIDGECREST DR
SANTA FE, NM
ZIP 87505
Phone: (505) 471-9154
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COKATA LTD. LIABILITY COMPANY is a mental health counselor in Santa Fe, NM. COKATA LTD. LIABILITY COMPANY NPI is 1114139565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

138 RIDGECREST DR
SANTA FE, NM
ZIP 87505-343
Phone: (505) 471-9154
Fax: (505) 438-9592

The provider's authorized official is Ronald Lee Andes .
The authorized official title is Co-manager and has the following contact phone number (505) 438-9592.

The enumeration date for this NPI number is 5/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC0915	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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