| Small Epiphanies, Inc. | |
|
106 S Main Ave Aztec NM 87410-2121 | |
| (505) 334-4919 | |
| (505) 334-4916 |
| Full Name | Small Epiphanies, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 106 S Main Ave, Aztec, New Mexico |
| Authorized Official Name and Position | Josephine Snyder Olson (PRESIDENT) |
| Authorized Official Contact | 5053344919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Epiphanies, Inc. Po Box 533 Aztec NM 87410-0533 Ph: (505) 334-4919 | Small Epiphanies, Inc. 106 S Main Ave Aztec NM 87410-2121 Ph: (505) 334-4919 |
| NPI Number | 1649414699 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649414699 | NPI | - | NPPES |
| N4017 | Medicaid | NM | |
| 0213 | Other | NM | NM STATE THERAPY LICENSE |
| 1528256351 | Other | NM | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0213 (New Mexico) | Primary |
Tribalights Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Road 2050, Aztec, NM 87410 Phone: 310-721-4398 | |
Center For Valued Living, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Chaco St, Aztec, NM 87410 Phone: 720-347-8559 Fax: 720-207-6885 | |
Focused Solutions Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 E. Chuska, Aztec, NM 87410 Phone: 505-333-7042 Fax: 505-333-7043 | |
Therapeutic Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 W Aztec Blvd, Po B0x 306, Aztec, NM 87410 Phone: 970-946-4254 | |
Aztec Municipal School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 W Aztec Blvd, Aztec, NM 87410 Phone: 505-334-3695 |