La Luz Provider Agency LLC
NPI #1245692102 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1245692102
- Entity Type
- Organization
- Organization Name
- La Luz Provider Agency LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 501 FRANKLIN AVE UNIT 6
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87501-3617
- Phone
- (505) 660-3484
Authorized Official
- Name
- CHERYL SCIACCA, LPCC
- Title
- CO-OWNER
- Phone
- (505) 660-3484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Art Therapist |
| Specialist |
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