Organization Name: | PRACTICE TAOS LIMITED, CONCIERGE THERAPY |
NPI Number: | 1205174703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA HOPE (OWNER) |
Mailing Address: | 17 Rock Garden Gully Road El Prado |
State: | NM US |
Postal Code: | 87529 |
Phone Number: | 5752241132 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-07913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |