Organization
TRANSFORMATIVE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE C CHAVEZ MA, LPCC (OWNER/CLINICAL DIRECTOR)
(505) 238-7468
Entity
Organization
Contact information
Practice address
5111 SAN MATEO BLVD NE, SUITE B-2, ALBUQUERQUE, NM 87109-2412
(505) 238-7468
Mailing address
737 LOMA PINON LOOP NE, RIO RANCHO, NM 87144-0588
(505) 238-7468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0105091
NM
Other
Enumeration date
09/18/2008
Last updated
08/04/2014
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