Organization
NUEVA VIDA COUNSELING AND CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL TOURANGEAU LADAC, LCSW, PHD (OWNER & MENTAL HEALTH PRACTITIONER)
(505) 429-0905
Entity
Organization
Contact information
Practice address
NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC, 1920 7TH STREET, LAS VEGAS, NM 87701
(505) 429-0905
(505) 425-2913
Mailing address
NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC, 1920 7TH STREET, LAS VEGAS, NM 87701
(505) 429-0905
(505) 425-2913
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C-4248
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49084364
—
NM
Enumeration date
06/08/2018
Last updated
05/28/2020
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