Provider Demographics
NPI:1649629874
Name:MANO DE AYUDA COUNSELING
Entity type:Organization
Organization Name:MANO DE AYUDA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRUFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-720-2015
Mailing Address - Street 1:2929 COORS BLVD NW
Mailing Address - Street 2:SUITE 102-I
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1173
Mailing Address - Country:US
Mailing Address - Phone:505-836-1303
Mailing Address - Fax:505-836-3810
Practice Address - Street 1:2929 COORS BLVD NW
Practice Address - Street 2:SUITE 102-I
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1173
Practice Address - Country:US
Practice Address - Phone:505-836-1303
Practice Address - Fax:505-836-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health