| Heartspace New Mexico Llc | |
|
14 Millers End Santa Fe NM 87508-9405 | |
| (214) 676-3879 | |
| (214) 292-9313 |
| Full Name | Heartspace New Mexico Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Millers End, Santa Fe, New Mexico |
| Authorized Official Name and Position | Shari H Scott (MEMBER) |
| Authorized Official Contact | 2146763879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartspace New Mexico Llc 14 Millers End Santa Fe NM 87508-9405 Ph: (214) 676-3879 | Heartspace New Mexico Llc 14 Millers End Santa Fe NM 87508-9405 Ph: (214) 676-3879 |
| NPI Number | 1780430181 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780430181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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