| Tender Hearts Llc | |
|
1272b Hwy 434 Guadalupita NM 87722 | |
| (505) 203-5414 | |
| (575) 387-6431 |
| Full Name | Tender Hearts Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1272b Hwy 434, Guadalupita, New Mexico |
| Authorized Official Name and Position | Roquel Labatad (OWNER/THERAPIST) |
| Authorized Official Contact | 5052035414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Hearts Llc Po Box 352 Guadalupita NM 87722-0352 Ph: (505) 203-5414 | Tender Hearts Llc 1272b Hwy 434 Guadalupita NM 87722 Ph: (505) 203-5414 |
| NPI Number | 1174282016 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174282016 | NPI | - | NPPES |
| 57186324 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |