Organization
TRAA GROUP LLC
Active
Other names
VIIBE WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TALLY MAY (OWNER)
(575) 652-3646
Entity
Organization
Contact information
Practice address
2906 HILLRISE DR, LAS CRUCES, NM 88011
(575) 652-3646
(575) 288-1625
Mailing address
2906 HILLRISE DR, LAS CRUCES, NM 88011-4702
(575) 652-3646
(575) 288-1625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09387
NM
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
CNP-02575
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96774720
—
NM
Enumeration date
12/30/2015
Last updated
07/19/2016
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