| Indigo Sky Counseling, Llc | |
|
2205 Miguel Chavez Rd Ste B3 Santa Fe NM 87505-6914 | |
| (505) 231-8550 | |
| Not Available |
| Full Name | Indigo Sky Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2205 Miguel Chavez Rd Ste B3, Santa Fe, New Mexico |
| Authorized Official Name and Position | Mindy Ann Mcclung (OWNER) |
| Authorized Official Contact | 5052318550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Sky Counseling, Llc 4 Cave Rd Madrid NM 87010-9730 Ph: (505) 231-8550 | Indigo Sky Counseling, Llc 2205 Miguel Chavez Rd Ste B3 Santa Fe NM 87505-6914 Ph: (505) 231-8550 |
| NPI Number | 1083493092 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 6406293356 |
|---|---|
| Medicare Enrollment ID | O20240327001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083493092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mindy A Mcclung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134598303 PECOS PAC ID: 0345675591 Enrollment ID: I20200115002149 |
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