Whalio Doctors

NPI 1346786902

Golden Willow Counseling LLC

Organisation Community/Behavioral Health Agency Taos, NM

Practice location

Address
412 Sipapu St, Taos, NM 87571-6498
Phone
(575) 770-9513

Authorised official

Name
Lawrence a Medina
Title
Practice Manager
Phone
(505) 470-2887

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Registry record

NPI
1346786902
Entity type
Organization
NPI issued
6 Jan 2017
Record last updated
3 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.