Organization
SOMA MEDICINE LLC
Active
Organization
SOMA MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS JENKINS LCSW (CO-OWNER)
(575) 779-4446
Entity
Organization
Contact information
Practice address
920 STARE ROAD 570, RANCHOS DE TAOS, NM 87557
(575) 779-4446
Mailing address
920 STARE ROAD 570, RANCHOS DE TAOS, NM 87557
(575) 779-4446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/08/2025
Last updated
05/29/2025
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