Affective Therapeutic Solutions LLC
Organization Active NPI Clinical Social Worker · Rio Rancho, NM
NPI 1720408487 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1720408487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I-07502 (NM)
- Legal business name
- AFFECTIVE THERAPEUTIC SOLUTIONS LLC
- Practice address
- 1005 21St St SE
Suite 11
Rio Rancho, NM 87124-4030 - Phone
- (505) 264-1698
- Fax
- (505) 359-3243
- NPI assigned
- Apr 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Jamie Lynn Gonzales, LISW
- Title
- Owner/Therapist
- Phone
- (505) 264-1698
Practitioners 1
-
Jamielynn Gonzales, DSW, LCSW, FSW
National Provider Directory
Locations
1005 21st St SE
Ste 11
Rio Rancho, NM 87124
Phone (505) 264-1698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | I-07502 | NM | Yes |
Addresses
Primary practice location
1005 21St St SE
Suite 11
Rio Rancho, NM 87124-4030
Mailing address
1005 21St St SE
Suite 11
Rio Rancho, NM 87124-4030
Phone (505) 264-1698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29283396 | Medicaid | NM |
Other providers in Rio Rancho, NM
- Acute Response Inc
- Barbara Ruth Adkins
- Adventure in Faith Counseling LLC
- Aegis Group Practice LLC
- Paul Afek
- Affirmations Mental Health Services
- Rita A Agbemadzo
- Gloria Judith Aguilar Gurule
- Diana C Aguilar Ramirez
- Celina Aguilar
All providers in Rio Rancho, 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 Apr 21, 2014. 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.