Flanagan, Teresa Ann
Flanagan, Teresa Ann is an sole proprietor health care provider with primary practice located at 1924 Quapaw St Apt B , Santa Fe NM 87505-3587. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Flanagan, Teresa Ann can be contacted via phone (505) 465-8333.Contact Information
Primary practice address
1924 Quapaw St Apt B
Santa Fe NM 87505-3587
Phone: (505) 465-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0195991 | New Mexico |
Profile Details
| NPI number | 1194725697 |
|---|---|
| LBN Legal business name | Flanagan, Teresa Ann |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Sep 18th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194725697 | NPPES |
| New Mexico | MEDICAID | 53031768 |
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