DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. SANDRA CECELIA BODGE CASE MANAGER

MEDICARE: MS. SANDRA CECELIA BODGE CASE MANAGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorT-0096331NM

General Provider Information

NPI Number : 1235181371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA CECELIA BODGE CASE MANAGER
Provider Business Mailing Address
First Line : POB 2916
Second Line :
City : RANCHOS DE TAOS
State : NM
Zip : 87557
Country : US
Telephone Number : 505-770-2404
Fax Number :
Provider Business Practice Location Address
First Line : 67 SUGAR LN
Second Line :
City : EL PRADO
State : NM
Zip : 87529
Country : US
Telephone Number : 575-770-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/22/2024

Similar Medicare Providers

1154252633 — MINDY, LLC
Practice Location Address:
3 CAMINO CUERVO
EL PRADO, NM
87529-4421
Practice Phone: 917-447-0692
Practice Fax:
1750347951 — MS. ANDREA TERRY LPCC
Practice Location Address:
6 SACRED VISTA
EL PRADO, NM
87529
Practice Phone: 575-613-3221
Practice Fax:
1902863012 — MS. SUZANNE LOVELACE L.P.C.C.
Practice Location Address:
26 EOTOTO RD
EL PRADO, NM
87529-7423
Practice Phone: 575-779-4382
Practice Fax:
1902835127 — DR. ANDREA MAUREEN IGNACIO D.C.
Practice Location Address:
98 STATE HIGHWAY 150 , #7
EL PRADO, NM
87529
Practice Phone: 575-776-1117
Practice Fax: 575-776-1118
1790791697 — TAOS RECOVERY, INC.
Practice Location Address:
259 BLUEBERRY HILL RD
EL PRADO, NM
87529-7305
Practice Phone: 575-758-5858
Practice Fax:
1952310435 — NANCY HAZEN
Practice Location Address:
308 RIO LUCERO RD
EL PRADO, NM
87529-9507
Practice Phone: 505-758-1494
Practice Fax:

Directions to “ MS. SANDRA CECELIA BODGE CASE MANAGER” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.