Organization · NPI-2

Alpenglow Counseling, LLC

Social Worker, Clinical · Santa Fe, NM

NPI number1639892391
StatusActive
Last updated in NPPESNov 17, 2022

Details

NPI
1639892391
Entity type
Organization (NPI-2)
Legal business name
Alpenglow Counseling, LLC
Organization subpart
No
Enumeration date
Sep 19, 2022
Certification date
Nov 17, 2022
Last updated
Nov 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

3 Caliente Rd Ste 10
Santa Fe, NM 87508-9209

Phone 505-336-1543

Mailing address

99 Alteza
Santa Fe, NM 87508-2219

Phone 505-336-1543

Authorized official

Alanna Sherstad-Ray
Manager
5053361543

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