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Contact Information

RADICAL HEART THERAPY AND COACHING LLC
42 NIGHT HAWK TRL
EL PRADO, NM87529-4502
 Phone: 505-670-3464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health & Wellness Coach

171400000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for RADICAL HEART THERAPY AND COACHING LLC

NPI # 1417767211
LBN Legal business name RADICAL HEART THERAPY AND COACHING LLC
Authorized official ELOISA RAMOS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2025
Last updated 01/14/2025 - More than a year 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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