Organization
SADIE L SMITH-MCDANIEL
Active
Parent organization
SADIE L SMITH-MCDANIEL
Other names
Angel Peak Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
SADIE L SMITH-MCDANIEL
Authorized official
SADIE SMITH-MCDANIEL LCSW (OWNER)
(505) 947-4384
Entity
Organization
Contact information
Practice address
101 E BROADWAY AVE, BLOOMFIELD, NM 87413-6235
(505) 330-8220
Mailing address
101 E BROADWAY AVE, BLOOMFIELD, NM 87413-6235
(505) 330-8220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
C-09871
NM
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51331764
—
NM
Enumeration date
04/13/2017
Last updated
06/10/2021
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