| Soul Threads | |
|
2074 Galisteo St B-3 Suite 1 Santa Fe NM 87505 | |
| (505) 819-9434 | |
| (505) 757-3413 |
| Full Name | Soul Threads |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2074 Galisteo St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Llani Marie Mraz (OWNER) |
| Authorized Official Contact | 5058199434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Threads P O Box 722 Santa Fe NM 87504-0722 Ph: (505) 819-9434 | Soul Threads 2074 Galisteo St B-3 Suite 1 Santa Fe NM 87505 Ph: (505) 819-9434 |
| NPI Number | 1235361890 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235361890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0120591 (New Mexico) | Primary |
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