Organization
BOLDLY RESILIENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES RUIZ-CHAVEZ MSW, LCSW (PSYCHOTHERAPIST)
(505) 718-2119
Entity
Organization
Contact information
Practice address
6713 4TH ST NW, LOS RANCHOS, NM 87107-6114
(505) 718-2119
Mailing address
6411 CANAVIO PL NW, ALBUQUERQUE, NM 87120-7052
(505) 718-2119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
05/14/2026
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