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General NPI Number Information
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NPI Number | 1275442857
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Entity Type | Organization
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Legal Business Name | DESERT WILLOW THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4011 BARBARA LOOP SE STE 101
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City | RIO RANCHO
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State | NM
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Zip | 87124-1040
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Country | US
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Telephone | 505-585-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 PENASCO RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-6320
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Country | US
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Telephone | 505-585-9704
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICAL SOCIAL WORKER
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Name | MRS. LAUREN ELIZABETH MORALES
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Credential | LCSW
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Telephone | 505-585-9704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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