Healthcare Provider Details

I. General information

NPI: 1083536254
Provider Name (Legal Business Name): MI CULTURA COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11104 SNOWHEIGHTS BLVD NE
ALBUQUERQUE NM
87112-3149
US

IV. Provider business mailing address

11104 SNOWHEIGHTS BLVD NE
ALBUQUERQUE NM
87112-3149
US

V. Phone/Fax

Practice location:
  • Phone: 505-274-3984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARGARITA AVITIA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-274-3984