Healthcare Provider Details

I. General information

NPI: 1114768165
Provider Name (Legal Business Name): SASHA SCAPAROTTI NAGLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 N ALAMEDA BLVD
LAS CRUCES NM
88005-2130
US

IV. Provider business mailing address

PO BOX 441
MESILLA NM
88046-0441
US

V. Phone/Fax

Practice location:
  • Phone: 575-405-7146
  • Fax:
Mailing address:
  • Phone: 415-246-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NATASHA SCAPAROTTI NAGLER
Title or Position: OWNER
Credential:
Phone: 415-246-5860