MORNING STAR FAMILY THERAPY LLC NPI 1114224102

NPI Information

NPI: 1114224102
Provider Name: MORNING STAR FAMILY THERAPY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 32D2157279

Address:
1213 DON GASPAR AVE
SANTA FE, NM
ZIP 87505
Phone: (505) 577-1025
Get Directions

MORNING STAR FAMILY THERAPY, LLC is a mental health counselor in Santa Fe, NM. MORNING STAR FAMILY THERAPY, LLC NPI is 1114224102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1213 DON GASPAR AVE
SANTA FE, NM
ZIP 87505-625
Phone: (505) 577-1025

The provider's authorized official is Heidi Eynon .
The authorized official title is Therapist and has the following contact phone number (505) 577-1025.

The CLIA number assigned to this NPI record is 32D2157279 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.

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	0114111	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54580781	MEDICAID	NEW MEXICO

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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