Organization
WINBORN WELLNESS & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE A BRUTON (ADMINISTRATIVE ASSISTANT)
(575) 694-5748
Entity
Organization
Contact information
Practice address
415 W HEMLOCK ST, DEMING, NM 88030-3622
(575) 694-5478
Mailing address
222 S TIN ST, DEMING, NM 88030-3645
(575) 694-5478
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47181265
—
NM
Enumeration date
01/24/2009
Last updated
08/29/2022
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