Second Creation Inc.

LBN: Second Creation Inc.
Second Creation Inc. is an health care organization with primary practice located at 1800 Old Pecos Trl Ste P , Santa Fe NM 87505-4759. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Second Creation Inc. can be contacted via phone (505) 795-8447, or through Pitt, Alexandra E via phone (505) 795-8447.

Contact Information

Primary practice address
1800 Old Pecos Trl Ste P Santa Fe NM 87505-4759
Fax: (505) 213-0337
Website:
Authorized official contact:
Name: Pitt, Alexandra E LPCC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0161941 New Mexico

Profile Details

NPI number 1497120422
LBN Legal business name Second Creation Inc.
DBA Doing business as
Authorized official Pitt, Alexandra E LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2015
Last updated Jul 28th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497120422 NPPES
New Mexico MEDICAID 22027718

Popular Providers