| Origen Therapy LLC | |
|
826 Camino De Monte Rey Suite A6 Santa Fe NM 87505 | |
| (505) 988-8010 | |
| Not Available |
| Full Name | Origen Therapy LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 826 Camino De Monte Rey, Santa Fe, New Mexico |
| Authorized Official Name and Position | Katherine Burns (OWNER) |
| Authorized Official Contact | 5059199734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origen Therapy LLC Po Box 32526 Santa Fe NM 87594-2526 Ph: (505) 919-9734 | Origen Therapy LLC 826 Camino De Monte Rey Suite A6 Santa Fe NM 87505 Ph: (505) 988-8010 |
| NPI Number | 1063158624 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063158624 | NPI | - | NPPES |
| 0 | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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