| Hidden Valley Counseling Llc | |
|
25 Wapiti Loop Valle Escondido Taos NM 87571 | |
| (575) 779-1484 | |
| Not Available |
| Full Name | Hidden Valley Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25 Wapiti Loop Valle Escondido, Taos, New Mexico |
| Authorized Official Name and Position | Larissa Mari Weinman (THERAPIST/COUNSELOR) |
| Authorized Official Contact | 5757791484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Valley Counseling Llc Po Box 3139 Taos NM 87571-3139 Ph: (575) 779-1484 | Hidden Valley Counseling Llc 25 Wapiti Loop Valle Escondido Taos NM 87571 Ph: (575) 779-1484 |
| NPI Number | 1306565569 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306565569 | NPI | - | NPPES |
| 75421062 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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