| Hot Rocks Llc | |
|
1808 Mann St Apt B Santa Fe NM 87505-3430 | |
| (505) 546-0619 | |
| Not Available |
| Full Name | Hot Rocks Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1808 Mann St Apt B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Mallory Hemerlein (OWNER, THERAPIST) |
| Authorized Official Contact | 4438120585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hot Rocks Llc 1808 Mann St Apt B Santa Fe NM 87505-3430 Ph: () - | Hot Rocks Llc 1808 Mann St Apt B Santa Fe NM 87505-3430 Ph: (505) 546-0619 |
| NPI Number | 1457036808 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 2062861172 |
|---|---|
| Medicare Enrollment ID | O20231221004154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457036808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mallory Hemerlein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174120687 PECOS PAC ID: 0345690939 Enrollment ID: I20231221004166 |
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