Basic Information
| Provider Information | |||||||||
| NPI: | 1104398114 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WALSH COUNSELING SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7301 INDIAN SCHOOL RD NE STE A | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871104504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052660441 | ||||||||
| FaxNumber: | 5052660504 | ||||||||
| Practice Location | |||||||||
| Address1: | 7301 INDIAN SCHOOL RD NE STE A | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871104504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5055083563 | ||||||||
| FaxNumber: | 5055083564 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2019 | ||||||||
| LastUpdateDate: | 01/18/2019 | ||||||||
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| AuthorizedOfficialLastName: | WALSH | ||||||||
| AuthorizedOfficialFirstName: | JULIE | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5052660441 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | WALSH COUNSELING SERVICES LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.