Healthcare Provider Details

I. General information

NPI: 1013308691
Provider Name (Legal Business Name): FINDING WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 DEBORAH RD SE STE 104B
RIO RANCHO NM
87124-1058
US

IV. Provider business mailing address

1424 DEBORAH RD SE STE 104B
RIO RANCHO NM
87124-1058
US

V. Phone/Fax

Practice location:
  • Phone: 505-974-9647
  • Fax:
Mailing address:
  • Phone: 505-974-9647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TRACY WALKER
Title or Position: CLINICAL SOCIAL WORKER
Credential: LISW
Phone: 505-974-9647