Healthcare Provider Details

I. General information

NPI: 1093055816
Provider Name (Legal Business Name): DEBORAH SCHWEIGER-WHALEN AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 SAINT MICHAELS DR SUITE 1101
SANTA FE NM
87505-7619
US

IV. Provider business mailing address

460 SAINT MICHAELS DR SUITE 1101
SANTA FE NM
87505-7619
US

V. Phone/Fax

Practice location:
  • Phone: 505-820-0477
  • Fax: 505-820-0467
Mailing address:
  • Phone: 505-820-0477
  • Fax: 505-820-0467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberI - 08139
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberI - 08139
License Number StateNM

VIII. Authorized Official

Name: MS. DEBORAH ANN SCHWEIGER-WHALEN
Title or Position: OWNER, EXECUTIVE DIRECTOR
Credential: MSW, LISW
Phone: 505-820-0477