Provider Demographics
NPI:1104398114
Name:WALSH COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:WALSH COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-266-0441
Mailing Address - Street 1:7301 INDIAN SCHOOL RD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4504
Mailing Address - Country:US
Mailing Address - Phone:505-266-0441
Mailing Address - Fax:505-266-0504
Practice Address - Street 1:7301 INDIAN SCHOOL RD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4504
Practice Address - Country:US
Practice Address - Phone:505-508-3563
Practice Address - Fax:505-508-3564
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALSH COUNSELING SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-02
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health