institution
Small Epiphanies, Inc.
Mental Health Counselor in Aztec, New Mexico
NPI 1649414699

Small Epiphanies, Inc. is a Mental Health Counselor based in Aztec, NM and is specialized in Mental Health. Small Epiphanies, Inc. practices in Aztec, NM. The NPI Number for Small Epiphanies, Inc. is 1649414699 and holds a License No. 0213 (New Mexico).

The current practice location address for Small Epiphanies, Inc. is 106 S Main Ave, Aztec, NM and can be reached out via phone at 505-334-4919 and via fax at 505-334-4916.

Location: 106 S Main Ave, Aztec, NM, 87410-0533
institution
Provider Profile Details
NPI Number
1649414699
Provider Name
Small Epiphanies, Inc.
Credential
Provider Entity Type
Organization
Address
106 S Main Ave, Aztec, NM, 87410-0533
Phone Number
505-334-4919
Fax Number
505-334-4916
Provider Enumeration Date
04/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N4017 05 NM
0213 01 NM NM STATE THERAPY LICENSE
1528256351 01 NM INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
106 S Main Ave
City
State
Zip
87410-2121
Phone Number
505-334-4919
Fax Number
505-334-4916
person
Provider Business Mailing Address Details
Address
106 S Main Ave
City
State
Zip
87410-2121
Phone Number
505-334-4919
Fax Number
505-334-4916
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0213 (New Mexico)
Definition
Definition to come...
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