Healthcare Provider Details

I. General information

NPI: 1922884816
Provider Name (Legal Business Name): SILVIA STENITZER MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 FORT UNION DR
SANTA FE NM
87505-7536
US

IV. Provider business mailing address

2001 FORT UNION DR
SANTA FE NM
87505-7536
US

V. Phone/Fax

Practice location:
  • Phone: 505-660-2961
  • Fax:
Mailing address:
  • Phone: 505-660-2961
  • 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:
Title or Position:
Credential:
Phone: