| Lavender Roots Therapeutic Services | |
|
1401 Soave Dr Se Rio Rancho NM 87124-8849 | |
| (505) 490-1998 | |
| Not Available |
| Full Name | Lavender Roots Therapeutic Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1401 Soave Dr Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Kathryn V Sandoval (OWNER) |
| Authorized Official Contact | 5054901998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Roots Therapeutic Services 1401 Soave Dr Se Rio Rancho NM 87124-8849 Ph: () - | Lavender Roots Therapeutic Services 1401 Soave Dr Se Rio Rancho NM 87124-8849 Ph: (505) 490-1998 |
| NPI Number | 1659115640 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659115640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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