| Wildflower Counseling, Llc | |
|
4253 Montgomery Blvd Ne Ste G130 Albuquerque NM 87109-1106 | |
| (505) 554-1283 | |
| (505) 207-6167 |
| Full Name | Wildflower Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4253 Montgomery Blvd Ne Ste G130, Albuquerque, New Mexico |
| Authorized Official Name and Position | Gabriella Tafoya-torrez (OWNER) |
| Authorized Official Contact | 5054016630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Counseling, Llc 817 Manzano St Ne Albuquerque NM 87110-6305 Ph: (505) 401-6630 | Wildflower Counseling, Llc 4253 Montgomery Blvd Ne Ste G130 Albuquerque NM 87109-1106 Ph: (505) 554-1283 |
| NPI Number | 1063149649 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063149649 | NPI | - | NPPES |
| 55582532 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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