Healthcare Provider Details

I. General information

NPI: 1780477844
Provider Name (Legal Business Name): PRICE PRACTICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4171 WALKING RAIN RD
SANTA FE NM
87507-0825
US

IV. Provider business mailing address

4171 WALKING RAIN RD
SANTA FE NM
87507-0825
US

V. Phone/Fax

Practice location:
  • Phone: 505-603-6332
  • Fax:
Mailing address:
  • Phone: 505-603-6332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIE PRICE
Title or Position: OWNER
Credential:
Phone: 505-603-6332