Gray Wolf Counseling, Inc.

LBN: Gray Wolf Counseling, Inc.
Gray Wolf Counseling, Inc. is an health care organization with primary practice located at 854 Mission Valley Rd , Corrales NM 87048-7829. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Gray Wolf Counseling, Inc. can be contacted via phone (505) 506-1877, or through Meddaugh, Robert Howard via phone (505) 506-1877.

Contact Information

Primary practice address
854 Mission Valley Rd Corrales NM 87048-7829
Phone: (505) 506-1877
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Meddaugh, Robert Howard MS,MFT,LADC, CPGC
Phone: (505) 506-1877

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0125 Nevada
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0162551 New Mexico
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0145071 New Mexico

Profile Details

NPI number 1700233699
LBN Legal business name Gray Wolf Counseling, Inc.
DBA Doing business as
Authorized official Meddaugh, Robert Howard MS,MFT,LADC, CPGC
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2016
Last updated May 20th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700233699 NPPES
New Mexico Other 033514011 NM CRS

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