THE CENTRE FOR PERFORMANCE ART AND CULTURE MEDICINE NPI 1700164522

NPI Information

NPI: 1700164522
Provider Name: THE CENTRE FOR PERFORMANCE, ART, AND CULTURE MEDICINE

Doing Business As: THE CENTRE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
209 LAS CRUCES RD
TAOS, NM
ZIP 87571
Phone: (575) 758-1565
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THE CENTRE FOR PERFORMANCE, ART, AND CULTURE MEDICINE is a professional counselor in Taos, NM. THE CENTRE FOR PERFORMANCE, ART, AND CULTURE MEDICINE NPI is 1700164522. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Centre.

The provider's business location address is:

209 LAS CRUCES RD
TAOS, NM
ZIP 87571-577
Phone: (575) 758-1565

The provider's authorized official is Marjorie Malone .
The authorized official title is Director and has the following contact phone number (575) 758-1565.

The enumeration date for this NPI number is 7/27/2011 and was last updated on 7/27/2011.

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	106H00000X	Marriage & Family Therapist		43969	CALIFORNIA	No
2	101YP2500X	Counselor	Professional	91921	NEW MEXICO	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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