Casa Milagro
Organization Active NPI Case Management Agency · Santa Fe, NM
NPI 1528458114 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1528458114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- 5817 (NM)
- Legal business name
- CASA MILAGRO
- Practice address
- 49 Camino Bajo
Santa Fe, NM 87508-8614 - Phone
- (505) 474-7684
- Fax
- (505) 438-4877
- NPI assigned
- Feb 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Desiree Bernard
- Title
- Executive Director
- Phone
- (505) 474-7684
Practitioners 5
-
Erica Don Westby, LPCC
-
Meryl Leiberman, PHD
-
Carolyn Shayte, CTB
National Provider Directory
Locations
49 Camino Bajo
Santa Fe, NM 87508
Phone (505) 474-7684
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 5817 | NM | Yes |
| Community/Behavioral Health Agency | 251S00000X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | 5817 | NM |
Addresses
Primary practice location
49 Camino Bajo
Santa Fe, NM 87508-8614
Mailing address
49 Camino Bajo
Santa Fe, NM 87508-8614
Phone (505) 474-7684
Other providers in Santa Fe, NM
- Susan Carter
- Windy G Carter
- Allana Cartier
- Laura K Carver
- Stephen Francis Carver
- Casa Real Nursing Operations LLC
- Casa Real Opco, LLC
- Nicolette Casale-George
- Faith P Casaus
- Brendan Tucker Casey
All providers in Santa Fe, NM · Case Management Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.