Organization
RADICAL HEART THERAPY AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELOISA RAMOS LCSW (OWNER)
(505) 670-3464
Entity
Organization
Contact information
Practice address
42 NIGHT HAWK TRL, EL PRADO, NM 87529-4502
(505) 670-3464
Mailing address
PO BOX 1054, TAOS, NM 87571-1054
(505) 670-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
01/13/2025
Last updated
01/14/2025
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