Provider Demographics
NPI:1073330916
Name:AUTHENTIC HEALING SOLUTIONS
Entity type:Organization
Organization Name:AUTHENTIC HEALING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-226-2740
Mailing Address - Street 1:1380 RIO RANCHO BLVD SE # 453
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1006
Mailing Address - Country:US
Mailing Address - Phone:505-226-2740
Mailing Address - Fax:
Practice Address - Street 1:512 SOOTHING MEADOWS DRIVE NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144
Practice Address - Country:US
Practice Address - Phone:505-226-2740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty