NPI 1720408487 · live from the CMS NPI Registry
Affective Therapeutic Solutions LLC
Social Worker, Clinical in Rio Rancho, NM. National Provider Identifier 1720408487, active.
NPI record
| NPI | 1720408487 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1005 21st St Se, Suite 11, Rio Rancho, NM 87124 |
| Practice phone | 505-264-1698 |
| Enumerated | April 21, 2014 |
| Last updated | April 21, 2014 |
| Authorized official | Jamie Gonzales, Owner/Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | I-07502 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.