MEDICARE: JOURNEY TO WELLNESS COUNSELING LOS LUNAS, LLC

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
1	101YM0800X	Mental Health Counselor	0159661	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053838375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY TO WELLNESS COUNSELING LOS LUNAS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 3372
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-3372
Country	:	US
Telephone Number	:	505-944-6626
Fax Number	:	505-359-3239

Provider Business Practice Location Address
First Line	:	1050 MAXFIELD AVE NE
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-4958
Country	:	US
Telephone Number	:	505-944-6626
Fax Number	:	505-359-3239

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	EMMA ORTEGA
Credential	:	LPCC
Telephone Number	:	505-944-6626

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	06/05/2026

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Directions to “JOURNEY TO WELLNESS COUNSELING LOS LUNAS, LLC ” Practice Location

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