Organization

Sacred Transitions, Inc.

Legal Business Name

Sacred Transitions, Inc.

NPI Number

1245310010

NPI Type

Organization

Enumeration Date

10/16/2006

Specialties

(Taxonomies)

Code

106H00000X
101YM0800X

Primary Taxonomy

No
No

Licenses

State

California
New Mexico

License Number

MFC29947
LPCC02449

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 24182
2019 GALISTEO ST

City

Santa Fe
Santa Fe

State

NM
NM

Postal Code

87502-4182
87505-2143

Country

US
US

Telephone Number

(505) 982-9375
(505) 982-9375

Authorized Official

Name

Dr. Kate Dow

Title or Position

PRESIDENT

Telephone Number

(505) 982-9375

Identifiers

Identifier

NM100050
1JC81
B6307

Identifier State

NM
NM
NM

Identifier Issuer

VALUE OPTIONS
BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address