EARTH SPIRIT AWAKENINGS NPI 1285086769

NPI Information

EARTH SPIRIT AWAKENINGS is a mental health counselor in Santa Fe, NM. EARTH SPIRIT AWAKENINGS NPI is 1285086769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Mesa Vista Wellness.

The provider's business location address is:

2019 GALISTEO ST
SANTA FE, NM
ZIP 87505-143
Phone: (505) 983-8225
Fax: (505) 930-5427

The provider's authorized official is Tod Dicecco .
The authorized official title is Executive Director and has the following contact phone number (505) 983-8225.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.

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:

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