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Contact Information

CROSS ROOTS COUNSELING LLC
121 WELLESLEY DR SE
ALBUQUERQUE, NM87106-1443
 Phone: 505-273-2030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CROSS ROOTS COUNSELING LLC

NPI # 1063150290
LBN Legal business name CROSS ROOTS COUNSELING LLC
Authorized official VANESSA LOPEZ VIETS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2022
Last updated 05/26/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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