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General NPI Number Information
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NPI Number | 1659598597
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Entity Type | Organization
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Legal Business Name | NAMASTE INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2112 MAIN ST NE STE A
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City | LOS LUNAS
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State | NM
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Zip | 87031-6353
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Country | US
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Telephone | 505-865-6176
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Fax | 505-865-3268
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | PERALTA
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State | NM
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Zip | 87042-0270
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Country | US
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Telephone | 505-865-6176
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Fax | 505-865-3268
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Authorized Official
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Title or Position | LPCC, EXECUTIVE DIRECTOR
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Name | CAROL REINHART
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Credential |
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Telephone | 505-865-6176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0099741
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License Number State | NM
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