Healthcare Provider Details

I. General information

NPI: 1487341301
Provider Name (Legal Business Name): ARROYO COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE NM
87120-1908
US

IV. Provider business mailing address

9219 HERMIT PEAK AVE NW
ALBUQUERQUE NM
87120-6274
US

V. Phone/Fax

Practice location:
  • Phone: 505-250-2494
  • Fax:
Mailing address:
  • Phone: 314-223-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ARMANDO DE LA GARZA
Title or Position: OWNER
Credential: MA, LPCC, NCC
Phone: 505-250-2494