Organization
ARTISTIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA ALVAREZ LPCC, LPAT, ATR-BC (OWNER)
(561) 376-1900
Entity
Organization
Contact information
Practice address
1605 YOUNG ST, SANTA FE, NM 87505-3505
(561) 376-1900
Mailing address
1605 YOUNG ST, SANTA FE, NM 87505-3505
(561) 376-1900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60425741
—
NM
Enumeration date
07/24/2020
Last updated
06/21/2024
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