YOUTH SHELTERS AND FAMILY SERVICES


Address: 5686 B Agua Fria Street, Santa Fe, NM 87507
Phone: 5059830586

YOUTH SHELTERS AND FAMILY SERVICES (NPI# 1508225749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508225749
Entity Type Organization
Organization Name YOUTH SHELTERS AND FAMILY SERVICES
Practice Address 5686 B Agua Fria Street
Santa Fe
NM 87507
Mailing Address P.o. Box 28279
Santa Fe
NM 87592-8279
Practice Telephone 5059830586
Practice Fax Number 5054240949
Mailing Telephone 5059830586
Mailing Fax Number 5054240949
Enumeration Date 2016-02-16
Last Update Date 2016-02-16
Authorized Official Name MR. DAVID ALAN BLOCK (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5059830586
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0090881 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 000B9298 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629128046 Youth Shelters and Family Services Community/Behavioral Health 4435 Airport Rd, Santa Fe, NM 87507-2894 2007-01-10

Office Location

Street Address 5686 B AGUA FRIA STREET
City SANTA FE
State NM
Zip Code 87507

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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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477178762 Nancy Mcdonald Counselor 1876 Camino Lumbre, Santa Fe, NM 87505-5612 2020-06-11
1922621986 Wethree Counselor 36 Aventura Rd, Santa Fe, NM 87508-8744 2020-05-26
1205466299 Lorena Alvarez Counselor 1621 Vuelta Pl, Santa Fe, NM 87501-2332 2020-01-19
1043701519 Charmaine Hughes Counselor 244 Casados St Apt 4, Santa Fe, NM 87501-2937 2018-05-21
1699278655 Sophia Lauritsen Lpcc Counselor 805 Early St Ste 2, Santa Fe, NM 87505-1607 2018-03-15
1255861209 Mikahla Kristen Beutler Counselor 1421 Luisa St Ste B, Santa Fe, NM 87505-4073 2017-06-13
1245692102 La Luz Provider Agency LLC Counselor 1713 Santa Fe River Rd, Santa Fe, NM 87501-2368 2016-03-22
1154713543 Susan Bienvenu Counselor 534 Juniper Dr, Santa Fe, NM 87501-1324 2015-02-23
1811385610 Candida Starr Jones Counselor 1704 Llano St # 217b, Santa Fe, NM 87505-5415 2014-12-31
1831596071 Claire Julia Wood Counselor 1006 Paseo De La Cuma, Santa Fe, NM 87501-1221 2014-12-03
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Competitor

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City SANTA FE
Zip Code 87507

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Dataset Information

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.

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