Organization · NPI-2

Carrie Eberhardy, Lcsw LLC

Community/Behavioral Health · Santa Fe, NM

NPI number1255967550
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1255967550
Entity type
Organization (NPI-2)
Legal business name
Carrie Eberhardy, Lcsw LLC
Organization subpart
No
Enumeration date
Mar 18, 2020
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

3600 Cerrillos Rd Ste 724e
Santa Fe, NM 87507-2690

Phone 505-819-3253

Mailing address

369 Montezuma Ave # 379
Santa Fe, NM 87501-2835

Phone 505-819-3253

Authorized official

Carrie Eberhardy
Owner
5058193253

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