Organization
EDOE LLC
Active
Other names
Hello Wellness Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SIBLEY DOERWALD LCSW (PROVIDER)
(505) 473-6191
Entity
Organization
Contact information
Practice address
518 OLD SANTA FE TRL STE 1, SANTA FE, NM 87505-0398
(505) 473-6191
(505) 819-1492
Mailing address
7430 OLD SANTA FE TRL, SANTA FE, NM 87505-4574
(505) 473-6191
(505) 983-0833
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
C-09941
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2837987
SCC#
NM
Enumeration date
04/02/2018
Last updated
04/02/2018
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