Organization
HOPE FORWARD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CARRILLO (OWNER)
(505) 550-6869
Entity
Organization
Contact information
Practice address
2521 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-4104
(505) 550-6869
Mailing address
8027 CAMILLE AVE NW, ALBUQUERQUE, NM 87120-5568
(505) 615-3122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
12/12/2023
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