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Organization

BEWHOLE MOVEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELYN BATTLE LICENSED LIFE COACH (CEO)
(919) 702-3006
Entity
Organization

Contact information

Practice address
1209 MOUNTAIN ROAD PL NE STE 102, ALBUQUERQUE, NM 87110-7845
(888) 433-8519
Mailing address
1209 MOUNTAIN ROAD PL NE STE 102, ALBUQUERQUE, NM 87110-7845
(888) 433-8519

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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