| Mikahla Beutler Llc | |
|
1421 Luisa St Ste C Santa Fe NM 87505-4073 | |
| (505) 663-6464 | |
| Not Available |
| Full Name | Mikahla Beutler Llc |
|---|---|
| Speciality | Counselor |
| Location | 1421 Luisa St Ste C, Santa Fe, New Mexico |
| Authorized Official Name and Position | Mikahla Kristin Beutler (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5056997311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikahla Beutler Llc Po Box 727 Tesuque NM 87574-0727 Ph: (505) 699-7311 | Mikahla Beutler Llc 1421 Luisa St Ste C Santa Fe NM 87505-4073 Ph: (505) 663-6464 |
| NPI Number | 1871016568 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/25/2017 |
| Medicare PECOS PAC ID | 7012359888 |
|---|---|
| Medicare Enrollment ID | O20240524000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871016568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 173411 (New Mexico) | Primary |
| Provider Name | Mikahla K Beutler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255861209 PECOS PAC ID: 1456793256 Enrollment ID: I20240524001985 |
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