institution
Time 4 Change, Llc
Mental Health Counselor in Espanola, New Mexico
NPI 1255071304

Time 4 Change, Llc is a Mental Health Counselor based in Espanola, NM and is specialized in Mental Health. Time 4 Change, Llc practices in Espanola, NM. The NPI Number for Time 4 Change, Llc is 1255071304 and holds a License No. (New Mexico).

The current practice location address for Time 4 Change, Llc is 19525 Tomas Lane, Espanola, NM and can be reached out via phone at 505-709-0608.

Location: 19525 Tomas Lane, Espanola, NM, 87532-2212
institution
Provider Profile Details
NPI Number
1255071304
Provider Name
Time 4 Change, Llc
Credential
Provider Entity Type
Organization
Address
19525 Tomas Lane, Espanola, NM, 87532-2212
Phone Number
505-709-0608
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437615564 05 NM
institution
Provider Business Practice Location Address Details
Address
19525 Tomas Lane
City
State
Zip
87532
Phone Number
505-709-0608
Fax Number
person
Provider Business Mailing Address Details
Address
19525 Tomas Lane
City
State
Zip
87532
Phone Number
505-709-0608
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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