Organization
SERENITY WELLNESS CENTER OF SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA NICOLE SHELBOURN MA, LPAT (OWNER)
(505) 690-3134
Entity
Organization
Contact information
Practice address
343 E PALACE AVE, SANTA FE, NM 87501
(505) 690-3134
(505) 216-2616
Mailing address
1000 CORDOVA PLACE #411, SANTA FE, NM 87505
(505) 690-3134
(505) 216-2616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0094521
NM
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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