| Counseling Center Of Santa Fe, Llc | |
|
924 Paseo De Peralta Ste 9 Santa Fe NM 87501-2775 | |
| (505) 603-9184 | |
| Not Available |
| Full Name | Counseling Center Of Santa Fe, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 924 Paseo De Peralta Ste 9, Santa Fe, New Mexico |
| Authorized Official Name and Position | Susan Cooper (LCSW/OWNER) |
| Authorized Official Contact | 5056039184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of Santa Fe, Llc 924 Paseo De Peralta Ste 9 Santa Fe NM 87501-2775 Ph: (505) 603-9184 | Counseling Center Of Santa Fe, Llc 924 Paseo De Peralta Ste 9 Santa Fe NM 87501-2775 Ph: (505) 603-9184 |
| NPI Number | 1154035798 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Medicare PECOS PAC ID | 0042682585 |
|---|---|
| Medicare Enrollment ID | O20230210000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154035798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073914867 PECOS PAC ID: 1951773498 Enrollment ID: I20230210000815 |
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