JOANNA LYNN BACK LPCC NPI 1043446321

NPI Information

NPI: 1043446321
Provider Name: JOANNA LYNN BACK, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
707 BROADWAY BLVD NE
SUITE 103
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 766-9361
Get Directions

Joanna Lynn Back, LPCC is a mental health counselor in Albuquerque, NM. Joanna Lynn Back, LPCC NPI is 1043446321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

707 BROADWAY BLVD NE
SUITE 103
ALBUQUERQUE, NM
ZIP 87102-360
Phone: (505) 766-9361
Fax: (505) 766-9157

The enumeration date for this NPI number is 6/1/2009 and was last updated on 6/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0092051	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M0892	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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