Organization
TENDER HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROQUEL LABATAD LCSW (OWNER/THERAPIST)
(505) 203-5414
Entity
Organization
Contact information
Practice address
1272B HWY 434, GUADALUPITA, NM 87722
(505) 203-5414
(575) 387-6431
Mailing address
PO BOX 352, GUADALUPITA, NM 87722-0352
(505) 203-5414
(575) 387-6431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57186324
—
NM
Enumeration date
12/08/2021
Last updated
12/08/2021
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