Head to Toe Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HEAD TO TOE WELLNESS, LLC

Practice address

4619 Greene Ave
Suite D
Albuquerque, NM 87114

Phone

(505) 289-0057

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Rebecca L Ledezma-Chinchilla, LPCC

Title

Clinical Counselor

Phone

(505) 417-3824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1891331773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67098",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937098",
            "telephone_number": "505-417-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 GREENE AVE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-289-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO TOE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "LEDEZMA-CHINCHILLA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "505-417-3824",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Hazlett Davidson, LMHC
• Shawn Andrew Hazlewood, MD
• HC&MH
• HCP Systems LLC
• Head and Neck Surgeons of New Mexico, LLC
• Jo Ellen Head, MD
• John Morgan Head
• Laura Ann Head
• Michele Lynne Head, CNP
• Tawn Elise Head, LPCC

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.