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NPI Code Detail

MEDICARE: ARIADNES THREAD LLC

MEDICARE: ARIADNES THREAD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1376355834
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIADNES THREAD LLC
Provider Business Mailing Address
First Line : 413 PENNSYLVANIA ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-2220
Country : US
Telephone Number : 505-364-3030
Fax Number :
Provider Business Practice Location Address
First Line : 201 EUBANK BLVD NE STE D1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87123-2759
Country : US
Telephone Number : 505-364-3030
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMANDA K HUTCHINSON
Credential : LCSW
Telephone Number : 505-364-3030
Provider Enumeration Date : 01/22/2025
Last Update Date : 06/17/2026

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Directions to “ARIADNES THREAD LLC ” Practice Location

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