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Organization

ALCHEMY STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETHANY MOORE LPCC, LPAT, ATR-BC (OWNER)
(505) 252-2215
Entity
Organization

Contact information

Practice address
1919 5TH ST STE N, SANTA FE, NM 87505-6012
(505) 303-0820
Mailing address
3108 PUEBLO SAPAWE, SANTA FE, NM 87507-2501
(505) 252-2215

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/04/2024
Last updated
11/04/2024
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