| Boldly Resilient Llc | |
|
6713 4th St Nw Los Ranchos NM 87107-6114 | |
| (505) 718-2119 | |
| Not Available |
| Full Name | Boldly Resilient Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6713 4th St Nw, Los Ranchos, New Mexico |
| Authorized Official Name and Position | Dolores Ruiz-chavez (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5057182119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boldly Resilient Llc 6411 Canavio Pl Nw Albuquerque NM 87120-7052 Ph: (505) 718-2119 | Boldly Resilient Llc 6713 4th St Nw Los Ranchos NM 87107-6114 Ph: (505) 718-2119 |
| NPI Number | 1518752534 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518752534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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