Organization
HEIRLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GATELY LMFT (OWNER)
(505) 717-5702
Entity
Organization
Contact information
Practice address
710 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2928
(505) 717-5702
Mailing address
PO BOX 1712, FAIRACRES, NM 88033-1712
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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