Tender Hearts LLC
Organization Active NPI Clinical Social Worker · Guadalupita, NM
NPI 1174282016 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1174282016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- TENDER HEARTS LLC
- Practice address
- 1272B Hwy 434
Guadalupita, NM 87722 - Phone
- (505) 203-5414
- Fax
- (575) 387-6431
- NPI assigned
- Dec 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Ms. Roquel Labatad, LCSW
- Title
- Owner/Therapist
- Phone
- (505) 203-5414
Practitioners 1
-
Roquel Labatad, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1272B Hwy 434
Guadalupita, NM 87722
Mailing address
PO Box 352
Guadalupita, NM 87722-0352
Phone (505) 203-5414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57186324 | Medicaid | NM |
Other providers in Guadalupita, NM
All providers in Guadalupita, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.