Santa Fe Supportive Therapy, Llc

LBN: Santa Fe Supportive Therapy, Llc
Santa Fe Supportive Therapy, Llc is an health care organization with primary practice located at 1418 Luisa St Ste 5A , Santa Fe NM 87505-4091. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Santa Fe Supportive Therapy, Llc can be contacted via phone (505) 926-0906, or through Kelso, Anika M via phone (505) 926-0906.

Contact Information

Primary practice address
1418 Luisa St Ste 5A Santa Fe NM 87505-4091
Phone: (505) 926-0906
Fax: (505) 926-0906
Website:
Map and Directions
Authorized official contact:
Name: Kelso, Anika M LISW
Phone: (505) 926-0906

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-06699 New Mexico

Profile Details

NPI number 1043502388
LBN Legal business name Santa Fe Supportive Therapy, Llc
DBA Doing business as
Authorized official Kelso, Anika M LISW
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2011
Last updated Jan 29th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043502388 NPPES
New Mexico MEDICAID 70372900

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