Interactionmatters, Llc | |
204 E Santa Fe Ave Santa Fe NM 87505-2650 | |
(505) 660-8047 | |
Not Available |
Full Name | Interactionmatters, Llc |
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Speciality | Social Worker |
Location | 204 E Santa Fe Ave, Santa Fe, New Mexico |
Authorized Official Name and Position | Gail Rae Walker (THERAPIST) |
Authorized Official Contact | 5056608047 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Interactionmatters, Llc 204 E Santa Fe Ave Santa Fe NM 87505-2650 Ph: (505) 660-8047 | Interactionmatters, Llc 204 E Santa Fe Ave Santa Fe NM 87505-2650 Ph: (505) 660-8047 |
NPI Number | 1780062489 |
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Provider Enumeration Date | 05/13/2015 |
Last Update Date | 05/13/2015 |
Medicare PECOS PAC ID | 5193085421 |
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Medicare Enrollment ID | O20180207000718 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780062489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-08981 (New Mexico) | Primary |
Provider Name | Gail R Walker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730438458 PECOS PAC ID: 6002176336 Enrollment ID: I20180207000755 |
Provider Name | Nicole L Mestas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679212559 PECOS PAC ID: 5193103737 Enrollment ID: I20220609001873 |
Provider Name | Eleonora Trujillo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972104115 PECOS PAC ID: 8426493180 Enrollment ID: I20240304003089 |
Provider Name | Tracy Epperson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841498987 PECOS PAC ID: 0042645665 Enrollment ID: I20240422001048 |
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