MOUNTAIN PASS COUNSELING LLC NPI 1972977015

NPI Information

NPI: 1972977015
Provider Name: MOUNTAIN PASS COUNSELING, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11930 MENAUL BLVD NE
STE 114-A
ALBUQUERQUE, NM
ZIP 87112
Phone: (262) 617-6446
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MOUNTAIN PASS COUNSELING, LLC is a mental health counselor in Albuquerque, NM. MOUNTAIN PASS COUNSELING, LLC NPI is 1972977015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11930 MENAUL BLVD NE
STE 114-A
ALBUQUERQUE, NM
ZIP 87112-478
Phone: (262) 617-6446

The provider's authorized official is Diane Marie Bast .
The authorized official title is Clinical Mental Health Counselor and has the following contact phone number (262) 617-6446.

The enumeration date for this NPI number is 11/29/2015 and was last updated on 11/29/2015.

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	0174601	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	43711500	MEDICAID	WISCONSIN

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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