Healthcare Provider Details

I. General information

NPI: 1831017383
Provider Name (Legal Business Name): MEGAN FINNO VELASQUEZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CARSON VALLEY WAY
SANTA FE NM
87508-1452
US

IV. Provider business mailing address

113 CARSON VALLEY WAY
SANTA FE NM
87508-1452
US

V. Phone/Fax

Practice location:
  • Phone: 773-573-0658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MEGAN FINNO VELASQUEZ
Title or Position: OWNER
Credential: PHD, LCSW
Phone: 773-573-0658