| Brain-body-spirit- Llc | |
|
7 Gallina Peak Santa Fe NM 87508-1439 | |
| (720) 470-7980 | |
| Not Available |
| Full Name | Brain-body-spirit- Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Gallina Peak, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lia Billington (OWNER) |
| Authorized Official Contact | 7204707980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain-body-spirit- Llc 12128 W Cooper Dr Littleton CO 80127-4861 Ph: (720) 470-7980 | Brain-body-spirit- Llc 7 Gallina Peak Santa Fe NM 87508-1439 Ph: (720) 470-7980 |
| NPI Number | 1730845843 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 11/12/2021 |
| Medicare PECOS PAC ID | 9739557083 |
|---|---|
| Medicare Enrollment ID | O20221117003269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730845843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lia Billington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265752554 PECOS PAC ID: 1759565500 Enrollment ID: I20110404000127 |
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