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Organization

HEALING ROOTS THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL GONZALES LCSW (OWNER)
(505) 720-3548
Entity
Organization

Contact information

Practice address
4010 CARLISLE BLVD NE STE F, ALBUQUERQUE, NM 87107-4532
(505) 301-5297
(505) 944-9303
Mailing address
4010 CARLISLE BLVD NE STE F, ALBUQUERQUE, NM 87107-4532
(505) 301-5297

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/08/2021
Last updated
03/10/2026
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