Healthcare Provider Details

I. General information

NPI: 1770265530
Provider Name (Legal Business Name): MORNINGSTAR INTEGRATIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 S SAINT FRANCIS DR
SANTA FE NM
87505-4040
US

IV. Provider business mailing address

1502 S SAINT FRANCIS DR
SANTA FE NM
87505-4040
US

V. Phone/Fax

Practice location:
  • Phone: 575-425-0227
  • Fax:
Mailing address:
  • Phone: 575-425-0227
  • 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: TARA E ZANGHI
Title or Position: LPCC
Credential: LPCC
Phone: 575-425-0227