Black Canvas Wholistic Therapy

LBN: Maq Ele', Llc
Black Canvas Wholistic Therapy is an health care organization with primary practice located at 1919 5Th St Ste O , Santa Fe NM 87505-6012. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is the primary health care specialty. Maq Ele', Llc can be contacted via phone (505) 913-1641, or through Eleazer, Maqueita S via phone (505) 913-1641.

Contact Information

Primary practice address
1919 5Th St Ste O Santa Fe NM 87505-6012
Phone: (505) 913-1641
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eleazer, Maqueita S MA, LPAT, ATR-BC
Phone: (505) 913-1641

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1669173035
LBN Legal business name Maq Ele', Llc
DBA Doing business as Black Canvas Wholistic Therapy
Authorized official Eleazer, Maqueita S MA, LPAT, ATR-BC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2023
Last updated Nov 2nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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