| New Age Behavioral Health, Llc | |
|
3600 Rodeo Ln Ste 5 Santa Fe NM 87507-6400 | |
| (505) 428-0039 | |
| (866) 793-0501 |
| Full Name | New Age Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3600 Rodeo Ln Ste 5, Santa Fe, New Mexico |
| Authorized Official Name and Position | Ashley Carro (OWNER) |
| Authorized Official Contact | 5054280039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Behavioral Health, Llc 3600 Rodeo Ln Ste 5 Santa Fe NM 87507-6400 Ph: (505) 428-0039 | New Age Behavioral Health, Llc 3600 Rodeo Ln Ste 5 Santa Fe NM 87507-6400 Ph: (505) 428-0039 |
| NPI Number | 1386283869 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Medicare PECOS PAC ID | 9234565011 |
|---|---|
| Medicare Enrollment ID | O20200214001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386283869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ashley Carro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255604914 PECOS PAC ID: 4385805589 Enrollment ID: I20161010002207 |
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