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WALK THE WALK COUNSELING LLC NPI 1598218190


NPI Information

NPI: 1598218190
Provider Name: WALK THE WALK COUNSELING LLC

Other Name: JEN WILLIS LISW

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2103 GOLF COURSE ROAD SE SUITE A
RIO RANCHO, NM
ZIP 87124
Phone: (505) 639-1312
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WALK THE WALK COUNSELING LLC is a mental health (including community mental health center) clinic center in Rio Rancho, NM. WALK THE WALK COUNSELING LLC NPI is 1598218190. The provider is registered as an organization entity type.
The provider Other Name Is Jen Willis Lisw.

The provider's business location address is:

2103 GOLF COURSE ROAD SE SUITE A
RIO RANCHO, NM
ZIP 87124
Phone: (505) 639-1312

The provider's authorized official is Jennifer Beth Willis .
The authorized official title is Sole Proprietor and has the following contact phone number (505) 639-1312.

The enumeration date for this NPI number is 7/29/2016 and was last updated on 11/27/2018.


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
1251S00000XCommunity/Behavioral HealthC-06999NEW MEXICONo
2101YM0800XCounselorMental HealthI-06999NEW MEXICONo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)I-06999NEW MEXICOYes

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
117301866MEDICAIDNEW MEXICO
202351714MEDICAIDNEW MEXICO
31104864255OTHERNEW MEXICONPI TYPE 1
41598218190OTHERNPI TYPE 2

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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