Organization
AVENIDAS NUEVAS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ANTONIO F LOMELI LCSW (OWNER/CLINICAL THERAPIST)
(602) 380-1750
Entity
Organization
Contact information
Practice address
324 CORNELL DR SE, ALBUQUERQUE, NM 87106-5513
(602) 380-1750
Mailing address
324 CORNELL DR SE, ALBUQUERQUE, NM 87106-5513
(602) 380-1750
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03075567
—
NM
05
—
49803034
—
NM
Enumeration date
05/14/2020
Last updated
07/07/2020
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