Healthcare Provider Details
I. General information
NPI: 1679200778
Provider Name (Legal Business Name): TO BE FOUND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1824 PROPPS ST NE
ALBUQUERQUE NM
87112-3128
US
IV. Provider business mailing address
1824 PROPPS ST NE
ALBUQUERQUE NM
87112-3128
US
V. Phone/Fax
- Phone: 773-991-6719
- Fax:
- Phone: 773-991-6719
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARNI
GOLDBERG
Title or Position: OWNER
Credential:
Phone: 773-991-6719