Healthcare Provider Details

I. General information

NPI: 1114635844
Provider Name (Legal Business Name): FLORECER THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 RIO BONITO DR SW
ALBUQUERQUE NM
87121-9341
US

IV. Provider business mailing address

3216 RIO BONITO DR SW
ALBUQUERQUE NM
87121-9341
US

V. Phone/Fax

Practice location:
  • Phone: 505-289-0309
  • Fax:
Mailing address:
  • Phone: 505-514-9080
  • 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: YESSENIA RAMIREZ
Title or Position: OWNER/CLINICIAN
Credential:
Phone: 505-289-0309