| Melanie Copeland Consulting, Llc | |
|
2074 Galisteo St., Ste. B Santa Fe NM 87505 | |
| (505) 424-0726 | |
| Not Available |
| Full Name | Melanie Copeland Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2074 Galisteo St., Ste. B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Melanie Copeland (OWNER/CLINICIAN) |
| Authorized Official Contact | 5054240726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Copeland Consulting, Llc 1704 Llano St Ste B Santa Fe NM 87505-5415 Ph: (505) 424-0726 | Melanie Copeland Consulting, Llc 2074 Galisteo St., Ste. B Santa Fe NM 87505 Ph: (505) 424-0726 |
| NPI Number | 1790503936 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 1456886530 |
|---|---|
| Medicare Enrollment ID | O20241126002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790503936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Melanie Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780657296 PECOS PAC ID: 2365977444 Enrollment ID: I20241126003725 |
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