Organization
METTA BHAVANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN JAMES COOGAN LCSW (OWNDER)
(505) 231-6658
Entity
Organization
Contact information
Practice address
1328 BISHOPS LODGE RD, SANTA FE, NM 87506-0002
(608) 561-7533
Mailing address
1328 BISHOPS LODGE RD, SANTA FE, NM 87506-0002
(608) 561-7533
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740762327
NATIONAL PLAN AND PROVIDER SYSTEM
WI
Enumeration date
07/29/2022
Last updated
03/16/2026
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