PUEBLO DE SAN ILDEFONSO NPI 1184208225

NPI Information

NPI: 1184208225
Provider Name: PUEBLO DE SAN ILDEFONSO
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2 TUNYO PO
SANTA FE, NM
ZIP 87506
Phone: (505) 455-2395
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PUEBLO DE SAN ILDEFONSO is a mental health counselor in Santa Fe, NM. PUEBLO DE SAN ILDEFONSO NPI is 1184208225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 TUNYO PO
SANTA FE, NM
ZIP 87506-258
Phone: (505) 455-2395

The provider's authorized official is Troy Campbell .
The authorized official title is Director Health And Human Services and has the following contact phone number (505) 692-5943.

The enumeration date for this NPI number is 5/5/2021 and was last updated on 3/20/2022.

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	Primary
1	172V00000X	Community Health Worker		No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	261QC1500X	Clinic/Center	Community Health	No
5	261QP0905X	Clinic/Center	Public Health, State or Local	No
6	101YM0800X	Counselor	Mental Health	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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