Modern Mystic, LLC
Modern Mystic, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.
- Licensed in
- NM
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2213 Brothers RdSanta Fe, NM 87505-6993
Phone: (505) 988-7616
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence T-0174411 (NM) |
|---|
Record details
| NPI number | 1720445679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roxanne Mercurio — Licensed Mental Health Counselor · (505) 231-3786 |
| Other names | Roxanne Mercurio |
| NPI enumerated | January 23, 2016 |
| Last updated in NPPES | January 23, 2016 |
| Mailing address | 9 Bonito Rd, Santa Fe, NM 87508-8793 |
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