| Essence Of Life Therapy And Wellness, Llc | |
|
16 Cresenciano Rd Tijeras NM 87059 | |
| (505) 259-9407 | |
| Not Available |
| Full Name | Essence Of Life Therapy And Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16 Cresenciano Rd, Tijeras, New Mexico |
| Authorized Official Name and Position | Valerie A Gonzales (OWNER) |
| Authorized Official Contact | 5052599407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essence Of Life Therapy And Wellness, Llc Po Box 1268 Tijeras NM 87059-1268 Ph: (505) 259-9407 | Essence Of Life Therapy And Wellness, Llc 16 Cresenciano Rd Tijeras NM 87059 Ph: (505) 259-9407 |
| NPI Number | 1881433514 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 07/21/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881433514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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