| Artistic Wellness, Llc | |
|
1605 Young St Santa Fe NM 87505-3505 | |
| (561) 376-1900 | |
| Not Available |
| Full Name | Artistic Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1605 Young St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lorena Alvarez (OWNER) |
| Authorized Official Contact | 5613761900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Artistic Wellness, Llc 1605 Young St Santa Fe NM 87505-3505 Ph: (561) 376-1900 | Artistic Wellness, Llc 1605 Young St Santa Fe NM 87505-3505 Ph: (561) 376-1900 |
| NPI Number | 1598374688 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 5395281273 |
|---|---|
| Medicare Enrollment ID | O20240727000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598374688 | NPI | - | NPPES |
| 60425741 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 221700000X | Art Therapist | (* (Not Available)) | Secondary |
| Provider Name | Lorena Alvarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205466299 PECOS PAC ID: 6204372188 Enrollment ID: I20240727000013 |
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