| Laura Miller Psychotherapy Llc | |
|
1221 S Saint Francis Dr Santa Fe NM 87505-4036 | |
| (720) 308-7986 | |
| Not Available |
| Full Name | Laura Miller Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1221 S Saint Francis Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Laura D Miller (OWNER) |
| Authorized Official Contact | 2064097451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Miller Psychotherapy Llc 29c Jacona Rd Santa Fe NM 87506-1394 Ph: (206) 409-7451 | Laura Miller Psychotherapy Llc 1221 S Saint Francis Dr Santa Fe NM 87505-4036 Ph: (720) 308-7986 |
| NPI Number | 1164108486 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 0941644520 |
|---|---|
| Medicare Enrollment ID | O20241017000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164108486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639301963 PECOS PAC ID: 9133571425 Enrollment ID: I20241104001053 |
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