Jen Willis Lisw
LBN: Walk The Walk Counseling Llc
Jen Willis Lisw is an health care organization with primary practice located at 2103 Golf Course Road Se Suite A , Rio Rancho NM 87124. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Walk The Walk Counseling Llc can be contacted via phone (505) 639-1312, or through Willis, Jennifer Beth via phone (505) 639-1312.
Contact Information
Primary practice address
2103 Golf Course Road Se Suite A
Rio Rancho NM 87124
Phone: (505) 639-1312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | I-06999 | New Mexico |
| Agencies / Community/Behavioral Health | 251S00000X | C-06999 | New Mexico |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | I-06999 | New Mexico |
Profile Details
| NPI number | 1598218190 |
|---|---|
| LBN Legal business name | Walk The Walk Counseling Llc |
| DBA Doing business as | Jen Willis Lisw |
| Authorized official | Willis, Jennifer Beth LISW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2016 |
| Last updated | Nov 27th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598218190 | NPPES |
| New Mexico | Other | 1104864255 | NPI TYPE 1 |
| New Mexico | MEDICAID | 02351714 | NPI TYPE 1 |
| New Mexico | Other | 1598218190 | NPI TYPE 1 |
| New Mexico | MEDICAID | 17301866 | NPI TYPE 1 |
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