| Marriage & Family Therapy Practice, Llc | |
|
530 Highway 180 W Silver City NM 88061-4400 | |
| (505) 231-9156 | |
| Not Available |
| Full Name | Marriage & Family Therapy Practice, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 530 Highway 180 W, Silver City, New Mexico |
| Authorized Official Name and Position | Amalia Humada-ludeke (THERAPIST) |
| Authorized Official Contact | 5052319156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage & Family Therapy Practice, Llc Po Box 5040 Silver City NM 88062-5040 Ph: (575) 956-6135 | Marriage & Family Therapy Practice, Llc 530 Highway 180 W Silver City NM 88061-4400 Ph: (505) 231-9156 |
| NPI Number | 1477910586 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477910586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0177351 (New Mexico) | Primary |
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