THIRD WAVE PSYCHOTHERAPY OF NEW MEXICO NPI 1407730609

NPI Information

  • NPI: 1407730609
  • Provider Name: THIRD WAVE PSYCHOTHERAPY OF NEW MEXICO
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 10400 ACADEMY RD NE STE 345
    ALBUQUERQUE, NM
    ZIP 87111
  • Phone: (505) 345-6100

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NPI Details

THIRD WAVE PSYCHOTHERAPY OF NEW MEXICO 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. THIRD WAVE PSYCHOTHERAPY OF NEW MEXICO NPI is 1407730609. The provider is registered as an organization entity type.

The provider's business location address is:

10400 ACADEMY RD NE STE 345
ALBUQUERQUE, NM
ZIP 87111-351
Phone: (505) 345-6100
Fax: (505) 212-0042

The provider's authorized official is Rae Littlewood .
The authorized official title is Owner and has the following contact phone number (505) 977-7972.

The enumeration date for this NPI number is 8/1/2025 and was last updated on 8/1/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 3/30/2025

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