Healthcare Provider Details

I. General information

NPI: 1912404328
Provider Name (Legal Business Name): CROSSWIND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7708 MAJESTY CT NW
ALBUQUERQUE NM
87107-6774
US

IV. Provider business mailing address

PO BOX 90383
ALBUQUERQUE NM
87199-0383
US

V. Phone/Fax

Practice location:
  • Phone: 651-895-3597
  • Fax: 505-295-5266
Mailing address:
  • Phone: 505-361-1958
  • Fax: 505-295-5266

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: MICHELLE AULT
Title or Position: OWNER
Credential: LCSW
Phone: 505-361-1958