Healthcare Provider Details

I. General information

NPI: 1588440143
Provider Name (Legal Business Name): THROUGH THE FOREST THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3612 CAMPUS BLVD NE
ALBUQUERQUE NM
87106-1314
US

IV. Provider business mailing address

3612 CAMPUS BLVD NE
ALBUQUERQUE NM
87106-1314
US

V. Phone/Fax

Practice location:
  • Phone: 505-389-6619
  • Fax: 505-554-3435
Mailing address:
  • Phone: 505-389-6619
  • Fax: 505-554-3435

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: CALLI FEERER
Title or Position: OWNER
Credential: LCSW
Phone: 505-389-6619