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Organization

SER HUMANA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUGUST BERRY LCSW (MENTAL HEALTH THERAPIST)
(505) 310-1419
Entity
Organization

Contact information

Practice address
3924 LOS MILAGROS, SANTA FE, NM 87507-1611
(505) 310-1419
Mailing address
3924 LOS MILAGROS, SANTA FE, NM 87507-1611
(505) 310-1419

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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