Healthcare Provider Details
I. General information
NPI: 1275079147
Provider Name (Legal Business Name): HARVESTING HOPE & HEALING COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2017
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3321 CANDELARIA RD NE # 321
ALBUQUERQUE NM
87107-1966
US
IV. Provider business mailing address
3301 COORS BLVD NW STE R # 131
ALBUQUERQUE NM
87120-1268
US
V. Phone/Fax
- Phone: 505-301-2434
- Fax:
- Phone: 505-301-2434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0169901 |
| License Number State | NM |
VIII. Authorized Official
Name: DR.
VALERIE
HOPE
SAFFOLD
Title or Position: OWNER/ CEO
Credential: PHD LPCC NCC
Phone: 505-301-2434