| Spring Lake Counseling Llc | |
|
1318 Vitalia St Santa Fe NM 87505-3224 | |
| (505) 433-7364 | |
| Not Available |
| Full Name | Spring Lake Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1318 Vitalia St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Celia Naar (OWNER) |
| Authorized Official Contact | 5054337364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Lake Counseling Llc Po Box 6308 Santa Fe NM 87502-6308 Ph: () - | Spring Lake Counseling Llc 1318 Vitalia St Santa Fe NM 87505-3224 Ph: (505) 433-7364 |
| NPI Number | 1225608458 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 2365837564 |
|---|---|
| Medicare Enrollment ID | O20220325001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225608458 | NPI | - | NPPES |
| 1861868036 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Celia J Naar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861868036 PECOS PAC ID: 4981931912 Enrollment ID: I20190813002629 |
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