Organization
COLLECTIVE SUPPORT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE MENDOZA LCSW (OWNER & DIRECTOR)
(505) 231-8578
Entity
Organization
Contact information
Practice address
15 PASEO DE SAN ANTONIO, SANTA FE, NM 87507-3746
(505) 231-8578
Mailing address
15 PASEO DE SAN ANTONIO, SANTA FE, NM 87507-3746
(505) 231-8578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/15/2023
Last updated
10/30/2023
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