Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azomalli Therapy and Growth Center LLC

Organization Clinical Social Worker · NPI 1730902164

Azomalli Therapy and Growth Center LLC is a Clinical Social Worker 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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