Organization
WILD IRIS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE HYDE LCSW (OWNER)
(505) 234-6151
Entity
Organization
Contact information
Practice address
1532 TAOS ST, SANTA FE, NM 87505-3836
(505) 234-6151
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 226-1960
(505) 672-7769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
04/02/2025
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