| Live Well Individual Therapy Llc | |
|
537 Hondo Seco Rd Arroyo Seco NM 87514 | |
| (575) 741-1492 | |
| Not Available |
| Full Name | Live Well Individual Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 537 Hondo Seco Rd, Arroyo Seco, New Mexico |
| Authorized Official Name and Position | Angela S Romero (OWNER) |
| Authorized Official Contact | 5757411492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Individual Therapy Llc Po Box 706 Arroyo Seco NM 87514-0706 Ph: (575) 741-1492 | Live Well Individual Therapy Llc 537 Hondo Seco Rd Arroyo Seco NM 87514 Ph: (575) 741-1492 |
| NPI Number | 1164258851 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164258851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
A(plus) Educational Diagnostics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Geronimo Lane, Arroyo Seco, NM 87514 Phone: 575-779-1736 |