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Contact Information

ARTISTIC WELLNESS, LLC
1605 YOUNG ST
SANTA FE, NM87505-3505
 Phone: 561-376-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for ARTISTIC WELLNESS, LLC

NPI Number 1598374688
LBN Legal business name ARTISTIC WELLNESS, LLC
Authorized official LORENA ALVAREZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2020
Last updated 06/21/2024 - More than a year ago
Identifiers
NM Medicaid 60425741
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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