Tender Hearts Llc | |
1272b Hwy 434 Guadalupita NM 87722 | |
(505) 203-5414 | |
(575) 387-6431 |
Full Name | Tender Hearts Llc |
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Speciality | Social Worker - Clinical |
Location | 1272b Hwy 434, Guadalupita, New Mexico |
Authorized Official Name and Position | Roquel Labatad (OWNER/THERAPIST) |
Authorized Official Contact | 5052035414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tender Hearts Llc Po Box 352 Guadalupita NM 87722-0352 Ph: (505) 203-5414 | Tender Hearts Llc 1272b Hwy 434 Guadalupita NM 87722 Ph: (505) 203-5414 |
NPI Number | 1174282016 |
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Provider Enumeration Date | 12/08/2021 |
Last Update Date | 12/08/2021 |
Certification Date | 11/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174282016 | NPI | - | NPPES |
57186324 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |