Tender Hearts LLC
Social Worker, Clinical in Guadalupita, NM. Organization (NPI-2).
NPI number1174282016
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1174282016
- Entity type
- Organization (NPI-2)
- Legal business name
- Tender Hearts LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2021
- Certification date
- Nov 30, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1272b Hwy 434Guadalupita, NM 87722
Phone 505-203-5414 · Fax 575-387-6431
Mailing address
Po Box 352Guadalupita, NM 87722-0352
Phone 505-203-5414 · Fax 575-387-6431
Authorized official
Roquel Labatad
Owner/Therapist
5052035414
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