Agave Psychotherapy LLC
Organization Active NPI Clinical Social Worker · Santa Fe, NM
NPI 1942929245 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1942929245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- AGAVE PSYCHOTHERAPY LLC
- Practice address
- 7 Avenida Vista Grande
Santa Fe, NM 87508-9198 - Phone
- (505) 421-5325
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Colson
- Title
- Owner
- Phone
- (505) 421-5325
National Provider Directory
Locations
7 Avenida Vista Grande
Santa Fe, NM 87508
Phone (505) 421-5325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
7 Avenida Vista Grande
Santa Fe, NM 87508-9198
Mailing address
7 Avenida Vista Grande
Santa Fe, NM 87508-9198
Other providers in Santa Fe, NM
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- Hal Agler
- Allesem Aguilar
- Harriet Ramona Aguilar
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- Sasha Nicole Aguilera
All providers in Santa Fe, NM · Clinical Social Worker 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 Aug 22, 2022. 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.