Healthcare Provider Details

I. General information

NPI: 1215339106
Provider Name (Legal Business Name): WORDSONG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6224 ALTA MONTE AVE NE
ALBUQUERQUE NM
87110-2166
US

IV. Provider business mailing address

6224 ALTA MONTE AVE NE
ALBUQUERQUE NM
87110-2166
US

V. Phone/Fax

Practice location:
  • Phone: 505-610-8295
  • Fax:
Mailing address:
  • Phone: 505-610-8295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-08835
License Number StateNM

VIII. Authorized Official

Name: MS. SARAH BAUER COUCH
Title or Position: OWNER
Credential: LCSW
Phone: 505-610-8295