| Sacred Transitions, Inc. | |
|
2019 Galisteo St E-2 Santa Fe NM 87505-2143 | |
| (505) 982-9375 | |
| (505) 982-9375 |
| Full Name | Sacred Transitions, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2019 Galisteo St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Kate Cherron Dow (PRESIDENT) |
| Authorized Official Contact | 5059829375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Transitions, Inc. Po Box 24182 Santa Fe NM 87502-4182 Ph: (505) 982-9375 | Sacred Transitions, Inc. 2019 Galisteo St E-2 Santa Fe NM 87505-2143 Ph: (505) 982-9375 |
| NPI Number | 1245310010 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245310010 | NPI | - | NPPES |
| NM100050 | Other | NM | VALUE OPTIONS |
| 1JC81 | Other | NM | BCBS |
| B6307 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC02449 (New Mexico) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC29947 (California) | Primary |
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