Provider Demographics
NPI:1346957263
Name:SENSE OF SELF PSYCHOTHERAPY SANTA FE LLC
Entity Type:Organization
Organization Name:SENSE OF SELF PSYCHOTHERAPY SANTA FE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINNEA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOESPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-310-5608
Mailing Address - Street 1:1869 CALLE QUEDO APT B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1869 CALLE QUEDO APT B
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6084
Practice Address - Country:US
Practice Address - Phone:404-310-5608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty