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COMPLETELY YOU WELLNESS LLC NPI 1437814670


NPI Information

NPI: 1437814670
Provider Name: COMPLETELY YOU WELLNESS, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 32D2142390

Address:
2837 PALOMAS DR NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 220-1331
Get Directions

COMPLETELY YOU WELLNESS, LLC is a clinical social worker in Albuquerque, NM. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. COMPLETELY YOU WELLNESS, LLC NPI is 1437814670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2837 PALOMAS DR NE
ALBUQUERQUE, NM
ZIP 87110-121
Phone: (505) 220-1331
Fax: (505) 554-3435

The provider's authorized official is Jennifer Davis .
The authorized official title is Owner and has the following contact phone number (505) 220-1330.

The CLIA number assigned to this NPI record is 32D2142390 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2021 and was last updated on 11/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
169206137MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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