| Growing Season, Llc | |
|
714 Kathryn Ave Unit B Santa Fe NM 87505 | |
| (505) 819-8181 | |
| Not Available |
| Full Name | Growing Season, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 714 Kathryn Ave Unit B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Iona Cooper (OWNER, SOLE EMPLOYEE) |
| Authorized Official Contact | 5058198181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Season, Llc 714 Kathryn Ave Unit B Santa Fe NM 87505 Ph: (505) 819-8181 | Growing Season, Llc 714 Kathryn Ave Unit B Santa Fe NM 87505 Ph: (505) 819-8181 |
| NPI Number | 1225814551 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 9739532268 |
|---|---|
| Medicare Enrollment ID | O20240131002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225814551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Iona Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013462811 PECOS PAC ID: 0648623173 Enrollment ID: I20240205001834 |
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