Modern Mystic, Llc

  • 1720445679 NPI Number
  • |
  • Actived: 8 years ago
  • |
Modern Mystic, Llc is a health care provider based in Santa Fe, NM. The NPI Number is 1720445679 and it has been active since 8 years ago. The specialty is Mental Health (Including Community Mental Health Center), providing comprehensive mental health services to individuals, families, and communities. If you are looking for Mental Health (Including Community Mental Health Center) services, Modern Mystic, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Modern Mystic, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/23/2016
  • Last updated: 01/23/2016

Primary Scrop of Practice

  • Taxonomy Code: 261QM0801X
  • Specialty: Mental Health (Including Community Mental Health Center)
  • License Number: T-0174411
  • License State: NM

Provider Mailing Address

  • Address: 9 Bonito Rd
    Santa Fe, NM 87508
  • Phone: 505-231-3786
  • Fax: 505-988-5592

Provider Practice Location

  • Address: 2213 Brothers Rd
    Santa Fe, NM 87505
  • Phone: 505-988-7616
  • Fax:

Authorized Official

  • Name: MS. Roxanne Mercurio M.A.,L.M.H.C
  • Position/Title: Licensed Mental Health Counselor
  • Telephone Number: 505-231-3786

Scope of Practice

  • Taxonomy Code: 261QM0801X
  • Specialty: Mental Health (Including Community Mental Health Center)
  • License Number: T-0174411
  • License State: NM
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Modern Mystic, Llc?
  • A: The npi number for Modern Mystic, Llc is 1720445679.
  • Q: What are Modern Mystic, Llc's specialties?
  • A: Modern Mystic, Llc's specialties are Mental Health (Including Community Mental Health Center) and different specialities.
  • Q: Where is Modern Mystic, Llc business practice location?
  • A: Modern Mystic, Llc business practice location is 2213 Brothers Rd, Santa Fe, NM 87505.
  • Q: How to contact Modern Mystic, Llc?
  • A: You can contact Modern Mystic, Llc via 505-988-7616.
  • Q: What is the authorized official for Modern Mystic, Llc?
  • A: The authorized office name is MS. Roxanne Mercurio M.A.,L.M.H.C with position/title is Licensed Mental Health Counselor and you can reach the authorized official via phone number 5052313786.
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