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EATING DISORDERS TREATMENT CENTER NPI 1750737656


NPI Information

NPI: 1750737656
Provider Name: EATING DISORDERS TREATMENT CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5203 JUAN TABO BLVD NE
SUITE 2A
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 266-6121
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EATING DISORDERS TREATMENT CENTER is a mental health counselor in Albuquerque, NM. EATING DISORDERS TREATMENT CENTER NPI is 1750737656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5203 JUAN TABO BLVD NE
SUITE 2A
ALBUQUERQUE, NM
ZIP 87111-683
Phone: (505) 266-6121
Fax: (505) 221-5710

The provider's authorized official is Katherine Paras .
The authorized official title is Art Therapist and has the following contact phone number (505) 266-6121.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health0454NEW MEXICOYes

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

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