NPI 1023413788

Tahlia Rainbolt, PHD, LLC

Organisation Community/Behavioral Health Agency Santa Fe, NM

Practice location

Address: 460 Saint Michaels Dr Suite 505, Santa Fe, NM 87505-7619
Phone: (505) 989-3340

Authorised official

Name: Tahlia Rainbolt
Title: Owner
Phone: (505) 989-3340

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1308 (NM)

Other Community/Behavioral Health providers in New Mexico →

Registry record

NPI: 1023413788
Entity type: Organization
NPI issued: 23 Oct 2014
Record last updated: 23 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.