Organization
INNER FLAME WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LOUISE VIGIL (OWNER/PROVIDER)
(575) 636-7117
Entity
Organization
Contact information
Practice address
525 S MELENDRES ST, LAS CRUCES, NM 88005-2805
(575) 636-7117
Mailing address
111 CADENA ST, MESQUITE, NM 88048-9348
(575) 636-7117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80081045
—
NM
Enumeration date
11/20/2023
Last updated
04/02/2025
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