Organization · NPI-2

Aspen Vista Therapy, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Santa Fe, NM

NPI number1447776695
StatusActive
Last updated in NPPESSep 10, 2019

Details

NPI
1447776695
Entity type
Organization (NPI-2)
Legal business name
Aspen Vista Therapy, LLC
Organization subpart
No
Enumeration date
Aug 18, 2017
Last updated
Sep 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)17-00146320NMYes

Practice location

1691 Galisteo St Ste D
Santa Fe, NM 87505-4781

Phone 505-954-1921 · Fax 505-983-6520

Mailing address

1691 Galisteo St Ste D
Santa Fe, NM 87505-4781

Phone 505-954-1921 · Fax 505-983-6520

Authorized official

Laurel M Shafter
Owner/Operator
5055777866

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Santa Fe, NM