# EDOE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hello Wellness Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669978391
- **Authorized official:** ERIN SIBLEY DOERWALD LCSW (PROVIDER)
- **Authorized official phone:** (505) 473-6191

## Contact information

- **Practice address:** 518 OLD SANTA FE TRL STE 1, SANTA FE, NM 87505-0398
- **Practice address phone:** (505) 473-6191
- **Practice address fax:** (505) 819-1492
- **Mailing address:** 7430 OLD SANTA FE TRL, SANTA FE, NM 87505-4574
- **Mailing address phone:** (505) 473-6191
- **Mailing address fax:** (505) 983-0833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | C-09941 | NM | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 04/02/2018