WILD ROSE HEALING LLC


Address: 4012 Comanche Rd Ne, Albuquerque, NM 87110-1081
Phone: 8022221643

WILD ROSE HEALING LLC (NPI# 1568089225) 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) 1568089225
Entity Type Organization
Organization Name WILD ROSE HEALING LLC
Practice Address 4012 Comanche Rd Ne
Albuquerque
NM 87110-1081
Practice Telephone 8022221643
Enumeration Date 2020-06-29
Last Update Date 2020-07-23
Authorized Official Name CHARLENE DOBBINS (OWNER)
Authorized Official Telephone 8022221643
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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Wild Rose Healing LLC 515 S 40th St, Boulder, CO 80305

Office Location

Street Address 4012 COMANCHE RD NE
City ALBUQUERQUE
State NM
Zip Code 87110-1081

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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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Competitor

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City ALBUQUERQUE
Zip Code 87110

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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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