MR. STUART H CLINE LPCC LADAC LPAT NPI 1639364557

NPI Information

NPI: 1639364557
Provider Name: MR. STUART H CLINE, LPCC, LADAC, LPAT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
4308 CARLISLE BLVD NE, STE 210
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 247-1921
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MR. Stuart H Cline, LPCC, LADAC, LPAT is a professional counselor in Albuquerque, NM. MR. Stuart H Cline, LPCC, LADAC, LPAT NPI is 1639364557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4308 CARLISLE BLVD NE, STE 210
ALBUQUERQUE, NM
ZIP 87107-849
Phone: (505) 247-1921
Fax: (505) 247-1020

The NPI 1639364557 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/2/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	89221	NEW MEXICO	No
2	101YP2500X	Counselor	Professional	5523	NEW MEXICO	No
3	101YP2500X	Counselor	Professional	CCMH0109631	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	07257279	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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