Healthcare Provider Details

I. General information

NPI: 1023713682
Provider Name (Legal Business Name): SOUTHWEST HEALTHWORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 OLD PECOS TRL STE A
SANTA FE NM
87505-4778
US

IV. Provider business mailing address

120 S FEDERAL PL # 8170
SANTA FE NM
87501-1966
US

V. Phone/Fax

Practice location:
  • Phone: 972-273-0172
  • Fax:
Mailing address:
  • Phone: 972-273-0172
  • Fax: 505-531-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CURT VANCE HAWORTH
Title or Position: OWNER
Credential:
Phone: 972-273-0172