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SANTA FE PSYCHOTHERAPY AND CONSULTING LLC NPI 1447265103


NPI Information

NPI: 1447265103
Provider Name: SANTA FE PSYCHOTHERAPY AND CONSULTING, LLC

Doing Business As: HIGH DESERT

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1925 ASPEN DRIVE
SUITE 700B
SANTA FE, NM
ZIP 87505
Phone: (505) 466-1764
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SANTA FE PSYCHOTHERAPY AND CONSULTING, LLC is a counselor in Santa Fe, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SANTA FE PSYCHOTHERAPY AND CONSULTING, LLC NPI is 1447265103. The provider is registered as an organization entity type.
The provider Is Doing Business As High Desert.

The provider's business location address is:

1925 ASPEN DRIVE
SUITE 700B
SANTA FE, NM
ZIP 87505
Phone: (505) 466-1764
Fax: (505) 424-1975

The provider's authorized official is Paolo Giudici .
The authorized official title is Owner and has the following contact phone number (505) 466-1764.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/10/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health0413NEW MEXICONo
2101YA0400XCounselorAddiction (Substance Use Disorder)3478NEW MEXICONo
3101YM0800XCounselorMental Health1865COLORADONo
4106H00000XMarriage & Family Therapist0067712NEW MEXICONo
5101Y00000XCounselor0413NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119779232MEDICAIDNEW 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

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