Organization
SECOND CREATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRA E PITT LPCC (CEO)
(505) 795-8447
Entity
Organization
Contact information
Practice address
1800 OLD PECOS TRL STE P, SANTA FE, NM 87505-4759
(505) 795-8447
(505) 213-0337
Mailing address
1800 OLD PECOS TRL STE P, SANTA FE, NM 87505-4759
(505) 795-8447
(505) 213-0337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0161941
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22027718
—
NM
Enumeration date
12/02/2015
Last updated
07/28/2022
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