| NPI | 1780911347 |
|---|---|
| Doing Business As | RAVEN COUNSELING AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | TANYA MEDINA Billing Specialist 505-527-3938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0100131) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2025-09-18 |