HEAD TO TOE WELLNESS, LLC


Address: 4619 Greene Ave, Suite D, Albuquerque, NM 87114
Phone: 5052890057

HEAD TO TOE WELLNESS, LLC (NPI# 1891331773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891331773
Entity Type Organization
Organization Name HEAD TO TOE WELLNESS, LLC
Practice Address 4619 Greene Ave
Suite D
Albuquerque
NM 87114
Mailing Address Po Box 67098
Albuquerque
NM 87193-7098
Practice Telephone 5052890057
Mailing Telephone 5054173824
Enumeration Date 2019-11-26
Last Update Date 2020-03-18
Authorized Official Name REBECCA L LEDEZMA-CHINCHILLA (CLINICAL COUNSELOR)
Authorized Official Telephone 5054173824
Authorized Official Credential LPCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 4619 GREENE AVE
SUITE D
City ALBUQUERQUE
State NM
Zip Code 87114

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1427432111 Marcia Nicole Cowen Nurse Practitioner 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 2015-07-13
1013315399 Amy Brown Counselor 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 2014-12-18
1851793392 Elaine Barbara Beckett Pharmacist 10224 Coors-by-pass Nw, Albuquerque, NM 87114 2014-09-16
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1427467513 Colleen Temkin Pharmacist 10224 Coors By Pass Nw, Albuquerque, NM 87114 2014-08-04
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1194387449 Karen Sue Stockham Counselor 9024 Aspen Ave Ne, Albuquerque, NM 87112 2019-07-07
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Competitor

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City ALBUQUERQUE
Zip Code 87114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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