Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Azomalli Therapy and Growth Center LLC

Organization Clinical Social Worker · NPI 1730902164

Azomalli Therapy and Growth Center LLC provides Clinical Social Worker services in Albuquerque, New Mexico. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 57th St NW
Albuquerque, NM 87105-1343
Phone: (505) 267-7031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730902164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dalia Medina Bustillos — Owner · (505) 267-7031
NPI enumeratedNovember 4, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address701 57th St Nw, Albuquerque, NM 87105-1343

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