MEDICARE: AUTHENTIC HEALING SOLUTIONS

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	101YP2500X	Professional Counselor

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	:	1073330916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTHENTIC HEALING SOLUTIONS

Provider Business Mailing Address
First Line	:	1380 RIO RANCHO BLVD SE # 453
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-1006
Country	:	US
Telephone Number	:	505-226-2740
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 SOOTHING MEADOWS DR NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-4075
Country	:	US
Telephone Number	:	505-226-2740
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KARI HERNANDEZ VALDEZ
Credential	:	LPCC
Telephone Number	:	505-226-2740

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	06/11/2026

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Directions to “AUTHENTIC HEALING SOLUTIONS ” Practice Location

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