NPI Details
WILDWOODS COUNSELING LLC is a psychologist in Sandia Park, NM. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. WILDWOODS COUNSELING LLC NPI is 1700651650. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
54 SKYLINE DR # USA
SANDIA PARK, NM
ZIP 87047-306
Phone: (505) 975-7723
The provider's authorized official is Christopher Douglas Blazina .
The authorized official title is Psychologist/ Wildwoods Counseling and has the following contact phone number (505) 975-7723.
The enumeration date for this NPI number is 11/21/2023 and was last updated on 11/21/2023.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103T00000X | Psychologist | | | | Yes |
