Provider Demographics
NPI:1528951571
Name:URBAN INDIGENOUS COLLECTIVE, LLC
Entity type:Organization
Organization Name:URBAN INDIGENOUS COLLECTIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY WELLNESS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMERO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:714-574-0344
Mailing Address - Street 1:315 W 39TH ST RM 1206
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4064
Mailing Address - Country:US
Mailing Address - Phone:201-878-4932
Mailing Address - Fax:
Practice Address - Street 1:315 W 39TH ST RM 1206
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4064
Practice Address - Country:US
Practice Address - Phone:201-878-4932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health