Healthcare Provider Details

I. General information

NPI: 1245310010
Provider Name (Legal Business Name): SACRED TRANSITIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 GALISTEO ST E-2
SANTA FE NM
87505-2143
US

IV. Provider business mailing address

PO BOX 24182
SANTA FE NM
87502-4182
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-9375
  • Fax: 505-982-9375
Mailing address:
  • Phone: 505-982-9375
  • Fax: 505-982-9375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC02449
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC29947
License Number StateCA

VIII. Authorized Official

Name: DR. KATE CHERRON DOW
Title or Position: PRESIDENT
Credential: PHD
Phone: 505-982-9375