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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODERN MYSTIC, LLC

Active Organization

MODERN MYSTIC, LLC is a Mental Health Clinic organization located in SANTA FE, New Mexico. NPI 1720445679 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · SANTA FE, NM

Registration Details

NPI Number
1720445679
Provider Type
Organization
NPI Issued
Jan 23, 2016 (10.565179167961 yrs)
Last Updated
Jan 23, 2016
License
T-0174411 (NM)

Practice Information

Address
2213 BROTHERS RD
SANTA FE, NM, 875056993
Browse NM providers · Browse ZIP 87505
Phone
5059887616
Primary Specialty
Mental Health Clinic
261QM0801X

Other Mental Health Clinic Organizations in SANTA FE, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.