Wynne, Sarah Michelle
Wynne, Sarah Michelle is an individual health care provider with primary practice located at 3321 Candelaria Rd Ne Ste 113 , Albuquerque NM 87107-1969. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wynne, Sarah Michelle can be contacted via phone (505) 980-5932.Contact Information
Primary practice address
3321 Candelaria Rd Ne Ste 113
Albuquerque NM 87107-1969
Phone: (505) 980-5932
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | New Mexico | |
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CMH0197821 |
Profile Details
| NPI number | 1427393842 |
|---|---|
| LBN Legal business name | Wynne, Sarah Michelle |
| Credentials | MA, LPCC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2012 |
| Last updated | Apr 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427393842 | NPPES |
| New Mexico | MEDICAID | 57287244 |
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