Healthcare Provider Details

I. General information

NPI: 1699350975
Provider Name (Legal Business Name): SALUD COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 03/17/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 RIO LINDA DR SW
ALBUQUERQUE NM
87121-9359
US

IV. Provider business mailing address

3309 RIO LINDA DR SW
ALBUQUERQUE NM
87121-9359
US

V. Phone/Fax

Practice location:
  • Phone: 505-515-7115
  • Fax:
Mailing address:
  • Phone: 505-515-7115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALHELI BACA
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPCC
Phone: 505-515-7115