| Guided Growth Therapy, Llc | |
|
959 Highway 314 Sw Ste B Los Lunas NM 87031-7457 | |
| (505) 850-7823 | |
| Not Available |
| Full Name | Guided Growth Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 959 Highway 314 Sw Ste B, Los Lunas, New Mexico |
| Authorized Official Name and Position | Teddie Chambers (OWNER) |
| Authorized Official Contact | 5052393340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Growth Therapy, Llc 959 Highway 314 Sw Ste B Los Lunas NM 87031-7457 Ph: (505) 850-7823 | Guided Growth Therapy, Llc 959 Highway 314 Sw Ste B Los Lunas NM 87031-7457 Ph: (505) 850-7823 |
| NPI Number | 1073343760 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073343760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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