SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES LLC NPI 1356733158

NPI Information

NPI: 1356733158
Provider Name: SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 32D2110679

Address:
5020 SAN PEDRO CT NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 554-8302
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SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC is an adult mental health clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC NPI is 1356733158. The provider is registered as an organization entity type.

The provider's business location address is:

5020 SAN PEDRO CT NE
ALBUQUERQUE, NM
ZIP 87109-515
Phone: (505) 554-8302
Fax: (505) 881-2646

The provider's authorized official is Rochelle Robyn Atencio .
The authorized official title is Behavioral Health Therapist and has the following contact phone number (505) 554-8302.

The CLIA number assigned to this NPI record is 32D2110679 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/3/2015 and was last updated on 3/3/2015.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	FAO117647	NEW MEXICO	No
2	261QM0850X	Clinic/Center	Adult Mental Health	FA0117647	NEW MEXICO	Yes

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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