Provider Demographics
NPI:1548071863
Name:CELINA D. HERRERA
Entity type:Organization
Organization Name:CELINA D. HERRERA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH & WELLNESS PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MPH, LMSW, CHES
Authorized Official - Phone:505-373-7820
Mailing Address - Street 1:509 SPRUCE ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-5226
Mailing Address - Country:US
Mailing Address - Phone:505-373-7820
Mailing Address - Fax:
Practice Address - Street 1:509 SPRUCE ST SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-5226
Practice Address - Country:US
Practice Address - Phone:505-373-7820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty