LIFE CHANGE PSYCHOTHERAPY INSTITUTE PC NPI 1740409135

NPI Information

NPI: 1740409135
Provider Name: LIFE CHANGE PSYCHOTHERAPY INSTITUTE, PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1200 EUBANK BLVD NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 271-5050
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LIFE CHANGE PSYCHOTHERAPY INSTITUTE, PC is a professional counselor in Albuquerque, NM. LIFE CHANGE PSYCHOTHERAPY INSTITUTE, PC NPI is 1740409135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 EUBANK BLVD NE
ALBUQUERQUE, NM
ZIP 87112-314
Phone: (505) 271-5050
Fax: (505) 271-1080

The provider's authorized official is Thomas F. Mckenna .
The authorized official title is President and has the following contact phone number (505) 271-5050.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.

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	101YP2500X	Counselor	Professional	0892	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	1194897108	OTHER	NEW MEXICO	INDIVIDUAL NPI

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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