LEADING EDGE THERAPY LLC NPI 1942012349

NPI Information

  • NPI: 1942012349
  • Provider Name: LEADING EDGE THERAPY LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 102 GOLD AVE SW # 256
    ALBUQUERQUE, NM
    ZIP 87102
  • Phone: (417) 501-9423

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NPI Details

LEADING EDGE THERAPY LLC is a clinical psychologist in Albuquerque, NM. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LEADING EDGE THERAPY LLC NPI is 1942012349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 GOLD AVE SW # 256
ALBUQUERQUE, NM
ZIP 87102-335
Phone: (417) 501-9423
Fax: (505) 672-7769

The provider's authorized official is Jamie Marie Loor .
The authorized official title is Owner and has the following contact phone number (417) 501-9423.

The enumeration date for this NPI number is 1/22/2025 and was last updated on 1/22/2025.

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
1103TC0700XPsychologistClinicalYes

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: 11/21/2025

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