STACY ANNE WYLLIE (NPI# 1275186983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275186983 |
| Entity Type | Individual |
| Full Name | STACY ANNE WYLLIE |
| Practice Address |
4436 Autumn Leaf Ln Santa Fe NM 87507-0828 |
| Practice Telephone | 9853736423 |
| Mailing Telephone | 9853736423 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | CMF0201781 | NM | Behavioral Health & Social Service Providers |
| Street Address |
4436 AUTUMN LEAF LN |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-0828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164903019 | Barbara Wisted Wisted | Marriage & Family Therapist | 70 Principe De Paz, Santa Fe, NM 87508-9107 | 2018-08-28 |
| 1679080600 | Kermit Andrew Cole | Marriage & Family Therapist | 2930 Fuego Sagrado, Santa Fe, NM 87505-5114 | 2017-12-29 |
| 1588188437 | Renee Suzanne Gonyier | Marriage & Family Therapist | 411 Saint Michaels Dr Ste 5, Santa Fe, NM 87505-7655 | 2017-08-02 |
| 1194110932 | Butterfly Counseling, LLC | Marriage & Family Therapist | 2950 Berardinelli St, Santa Fe, NM 87505-6400 | 2015-03-30 |
| 1811227358 | Darby Long | Marriage & Family Therapist | 99 Monte Alto Rd, Santa Fe, NM 87508-8227 | 2010-01-06 |
| 1861643777 | Elizabeth Ann Bear | Marriage & Family Therapist | 1719 Santa Fe River Rd, Santa Fe, NM 87501-2368 | 2008-10-09 |
| 1730379363 | Drew Richard Hutchinson | Marriage & Family Therapist | 1317 Ferguson Ln, Santa Fe, NM 87505-6213 | 2007-07-30 |
| 1598884280 | Steven L Mcgough | Marriage & Family Therapist | 2210 Miguel Chavez Rd, 1014, Santa Fe, NM 87505-6923 | 2007-03-27 |
| 1194866152 | Katherine S Bell | Marriage & Family Therapist | 1435 S Saint Francis Dr, Suite 202, Santa Fe, NM 87505-4202 | 2007-02-10 |
| 1376620930 | Mary Maude Foster | Marriage & Family Therapist | 1503 Llano St, #a, Santa Fe, NM 87505-2000 | 2006-11-01 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.