Healthcare Provider Details

I. General information

NPI: 1871814897
Provider Name (Legal Business Name): HEALING THROUGH HORSES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 07/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21074A HIGHWAY#84
ABIQUIU NM
87510-0618
US

IV. Provider business mailing address

PO BOX 618 21074A HIGHWAY #84
ABIQUIU NM
87510-0618
US

V. Phone/Fax

Practice location:
  • Phone: 505-685-0596
  • Fax: 505-685-0596
Mailing address:
  • Phone: 505-685-0596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-06454
License Number StateNM

VIII. Authorized Official

Name: MS. JUDITH SANDRA SCHNEIDER
Title or Position: OWNER
Credential: LISW
Phone: 505-685-0596