| South West Healing And Change Llc | |
|
1424 Deborah Road Se Rio Rancho NM 87124 | |
| (505) 415-8085 | |
| Not Available |
| Full Name | South West Healing And Change Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1424 Deborah Road Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Maureen Brickley (LPCC/OWNER) |
| Authorized Official Contact | 2158035261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South West Healing And Change Llc 8205 Spain Road Ne Suite 106 Albuquerque NM 87109-3155 Ph: (505) 384-7352 | South West Healing And Change Llc 1424 Deborah Road Se Rio Rancho NM 87124 Ph: (505) 415-8085 |
| NPI Number | 1861886632 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861886632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0146921 (New Mexico) | Primary |
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