Organization
COFFEE ON THE COUCH COUNSELING LLC
Active
Other names
Coffee on the Couch Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY HOLLINGWORTH LPCC (FOUNDER)
(505) 705-0571
Entity
Organization
Contact information
Practice address
2107 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-2617
(505) 705-0571
Mailing address
2107 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-2617
(505) 705-0571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
03/15/2022
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