| Southwest Healthworks Llc | |
|
1660 Old Pecos Trl Ste A Santa Fe NM 87505-4778 | |
| (972) 273-0172 | |
| Not Available |
| Full Name | Southwest Healthworks Llc |
|---|---|
| Speciality | Counselor |
| Location | 1660 Old Pecos Trl Ste A, Santa Fe, New Mexico |
| Authorized Official Name and Position | Curt Haworth (OWNER) |
| Authorized Official Contact | 9722730172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Healthworks Llc 120 S Federal Pl # 8170 Santa Fe NM 87501-1966 Ph: (972) 273-0172 | Southwest Healthworks Llc 1660 Old Pecos Trl Ste A Santa Fe NM 87505-4778 Ph: (972) 273-0172 |
| NPI Number | 1023713682 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 1052850336 |
|---|---|
| Medicare Enrollment ID | O20240830000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023713682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa A. Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033865803 PECOS PAC ID: 2264971555 Enrollment ID: I20240830001056 |
| Provider Name | Jessica L Bloome |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255995577 PECOS PAC ID: 3971042276 Enrollment ID: I20240830001156 |
| Provider Name | Carolina Ortega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316399074 PECOS PAC ID: 6103365408 Enrollment ID: I20240830001369 |
| Provider Name | Tamara Soal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497168801 PECOS PAC ID: 7618416926 Enrollment ID: I20240830001527 |
| Provider Name | Arielle Maria Rothenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891456729 PECOS PAC ID: 2860931177 Enrollment ID: I20240830001672 |
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