| Kinship Therapy Llc | |
|
741 Terrace Dr Las Vegas NM 87701-4918 | |
| (505) 617-0202 | |
| Not Available |
| Full Name | Kinship Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 741 Terrace Dr, Las Vegas, New Mexico |
| Authorized Official Name and Position | Vanessa D Lucero (THERAPIST) |
| Authorized Official Contact | 5056170202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinship Therapy Llc 741 Terrace Dr Las Vegas NM 87701-4918 Ph: (505) 617-0202 | Kinship Therapy Llc 741 Terrace Dr Las Vegas NM 87701-4918 Ph: (505) 617-0202 |
| NPI Number | 1326920398 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326920398 | NPI | - | NPPES |
| 1437041332 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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