Inner Strength Mental Health and Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09193 Issued in NM

Legal business name

INNER STRENGTH MENTAL HEALTH AND WELLNESS, LLC

Practice address

11930 Menaul Blvd NE Ste 101a
Albuquerque, NM 87112-2478

Phone

(505) 453-5089

NPI assigned

Sep 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tara Bremer Quintana, LCSW

Title

Owner

Phone

(505) 453-5089

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Bremer Quintana, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1184978579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1255700787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 MENAUL BLVD NE STE 101A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122478",
            "telephone_number": "505-453-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 MENAUL BLVD NE STE 101A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122478",
            "telephone_number": "505-453-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER STRENGTH MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BREMER QUINTANA",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-453-5089",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inner Wisdom Counseling, L.L.C.
• Innerface Imaging LLC
• Jason J Innerhofer, PA(ASCP)
• Innerwork Psychotherapy and Counseling
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• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.