Healthcare Provider Details

I. General information

NPI: 1366235558
Provider Name (Legal Business Name): TRIBEAID INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 MOUNT TAYLOR AVE
GRANTS NM
87020-2959
US

IV. Provider business mailing address

269 GENE AVE NW
ALBUQUERQUE NM
87107-5316
US

V. Phone/Fax

Practice location:
  • Phone: 505-610-5897
  • Fax:
Mailing address:
  • Phone: 505-469-8768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERESA MEEHAN
Title or Position: CEO
Credential:
Phone: 505-610-5897