Healthcare Provider Details

I. General information

NPI: 1174476097
Provider Name (Legal Business Name): ECOTHERAPY NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 LENA ST
SANTA FE NM
87505-3891
US

IV. Provider business mailing address

3 CUESTA LN
SANTA FE NM
87508-8331
US

V. Phone/Fax

Practice location:
  • Phone: 213-537-8070
  • Fax:
Mailing address:
  • Phone: 213-537-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW KLEPPER
Title or Position: OWNER
Credential: MA LPCC
Phone: 213-537-8070