Child Counseling Center And Play Therapy Institute Of New Mexico

LBN: Child Counseling Center And Play Therapy Institute Of New Mexico
Child Counseling Center And Play Therapy Institute Of New Mexico is an health care organization with primary practice located at 1400 Maclovia St Ste 1 , Santa Fe NM 87505-3253. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Child Counseling Center And Play Therapy Institute Of New Mexico can be contacted via phone (505) 772-0459, or through Bienvenu, Susan via phone (505) 316-1182.

Contact Information

Primary practice address
1400 Maclovia St Ste 1 Santa Fe NM 87505-3253
Phone: (505) 772-0459
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bienvenu, Susan MA, LPCC
Phone: (505) 316-1182

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1619536141
LBN Legal business name Child Counseling Center And Play Therapy Institute Of New Mexico
DBA Doing business as
Authorized official Bienvenu, Susan MA, LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2019
Last updated Dec 2nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619536141 NPPES
New Mexico MEDICAID 32055072

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