Healthcare Provider Details

I. General information

NPI: 1497452130
Provider Name (Legal Business Name): INNER WINDS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 BARBARA LOOP SE STE 105C
RIO RANCHO NM
87124-1040
US

IV. Provider business mailing address

4011 BARBARA LOOP SE STE 105C
RIO RANCHO NM
87124-1040
US

V. Phone/Fax

Practice location:
  • Phone: 505-492-7593
  • Fax:
Mailing address:
  • Phone: 505-492-7593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ALAMOND
Title or Position: OWNER/THERAPIST
Credential: LPCC
Phone: 505-492-7593