| Sacred Transitions Nm Llc | |
|
3 Caliente Rd Ste 10 Santa Fe NM 87508-9209 | |
| (505) 216-6728 | |
| Not Available |
| Full Name | Sacred Transitions Nm Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3 Caliente Rd Ste 10, Santa Fe, New Mexico |
| Authorized Official Name and Position | Amy Elizabeth Elmquist (MANAGER) |
| Authorized Official Contact | 5052166728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Transitions Nm Llc 44 Lamy Downs Lamy NM 87540-9647 Ph: () - | Sacred Transitions Nm Llc 3 Caliente Rd Ste 10 Santa Fe NM 87508-9209 Ph: (505) 216-6728 |
| NPI Number | 1912769738 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 3476992215 |
|---|---|
| Medicare Enrollment ID | O20240412003227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912769738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy E Elmquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588127781 PECOS PAC ID: 2163859331 Enrollment ID: I20200227002369 |
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