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THERAPEUTIC ROOTS BEHAVIORAL HEALTH NPI 1255103644


NPI Information

NPI: 1255103644
Provider Name: THERAPEUTIC ROOTS BEHAVIORAL HEALTH

Other Name: MICHELLE SANDERSON

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5808 MCLEOD RD NE STE P
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 228-1670
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THERAPEUTIC ROOTS BEHAVIORAL HEALTH is a professional counselor in Albuquerque, NM. THERAPEUTIC ROOTS BEHAVIORAL HEALTH NPI is 1255103644. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Michelle Sanderson.

The provider's business location address is:

5808 MCLEOD RD NE STE P
ALBUQUERQUE, NM
ZIP 87109-468
Phone: (505) 228-1670

The provider's authorized official is Michelle Sanderson .
The authorized official title is Owner and has the following contact phone number (505) 228-1670.

The enumeration date for this NPI number is 10/27/2023 and was last updated on 4/7/2024.


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
1101YP2500XCounselorProfessionalYes

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: 5/5/2024

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