Time 4 Change, LLC
NPI #1255071304 in Espanola, New Mexico
Provider Information
- NPI Number
- 1255071304
- Entity Type
- Organization
- Organization Name
- Time 4 Change, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 29, 2022
- Last Updated
- Mar 29, 2022
Practice Location
- Address
- 19525 TOMAS LANE
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532
- Phone
- (505) 709-0608
Authorized Official
- Name
- TROY CAMPBELL, LCSW
- Title
- PROVIDER
- Phone
- (505) 709-0608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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