| Women's Healing Therapy | |
|
3 Latir Ct Santa Fe NM 87508-2192 | |
| (575) 693-6132 | |
| Not Available |
| Full Name | Women's Healing Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Latir Ct, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lindsay Fellows Dworak (LMFT) |
| Authorized Official Contact | 5756936132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Healing Therapy 3 Latir Ct Santa Fe NM 87508-2192 Ph: (575) 693-6132 | Women's Healing Therapy 3 Latir Ct Santa Fe NM 87508-2192 Ph: (575) 693-6132 |
| NPI Number | 1851961882 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 0446699748 |
|---|---|
| Medicare Enrollment ID | O20240419000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851961882 | NPI | - | NPPES |
| Provider Name | Lindsay Dworak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750514626 PECOS PAC ID: 4587003892 Enrollment ID: I20240419001260 |
| Provider Name | Tammy Fellows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376714246 PECOS PAC ID: 2264873934 Enrollment ID: I20240513000633 |
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