| The Growing Edge Of Santa Fe, Llc | |
|
1409 Luisa St Ste D2 Santa Fe NM 87505-7002 | |
| (505) 204-3424 | |
| Not Available |
| Full Name | The Growing Edge Of Santa Fe, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1409 Luisa St Ste D2, Santa Fe, New Mexico |
| Authorized Official Name and Position | Shannan Greenlee (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5052043424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Growing Edge Of Santa Fe, Llc 1409 Luisa St Ste D2 Santa Fe NM 87505-7002 Ph: () - | The Growing Edge Of Santa Fe, Llc 1409 Luisa St Ste D2 Santa Fe NM 87505-7002 Ph: (505) 204-3424 |
| NPI Number | 1750090908 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 9133594500 |
|---|---|
| Medicare Enrollment ID | O20240319002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750090908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathryn Agata Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730240391 PECOS PAC ID: 4587947965 Enrollment ID: I20170209000034 |
Sangre De Cristo Community Health Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 S Saint Francis Dr, Santa Fe, NM 87505 Phone: 505-982-8870 Fax: 505-982-4480 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-438-0502 Fax: 505-438-0504 | |
Carrie T. Ishee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Upper Canyon Rd, Santa Fe, NM 87501 Phone: 505-670-0686 | |
Vega Diagnostic & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Rito Guicu, Santa Fe, NM 87507 Phone: 505-235-4002 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Equest Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17661 Us 84/285, Santa Fe, NM 87506 Phone: 505-455-0555 Fax: 505-455-2237 | |
William Wengs, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Botulph Rd, Suite 500, Santa Fe, NM 87505 Phone: 505-986-2890 Fax: 505-986-2893 |