Tahlia Rainbolt, Phd, LLC
NPI #1023413788 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1023413788
- Entity Type
- Organization
- Organization Name
- Tahlia Rainbolt, Phd, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 23, 2014
- Last Updated
- Oct 23, 2014
Practice Location
- Address
- 460 SAINT MICHAELS DR
- Address 2
- SUITE 505
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-7619
- Phone
- (505) 989-3340
Authorized Official
- Name
- TAHLIA RAINBOLT, PH.D.
- Title
- OWNER
- Phone
- (505) 989-3340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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