Organization · NPI-2

101 Therapy LLC

Psychologist, Clinical · Albuquerque, NM

NPI number1205404159
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1205404159
Entity type
Organization (NPI-2)
Legal business name
101 Therapy LLC
Organization subpart
No
Enumeration date
Jun 16, 2021
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes

Practice location

508 3rd St Sw
Albuquerque, NM 87102-3836

Phone 505-257-6868 · Fax 505-521-5161

Mailing address

508 3rd St Sw
Albuquerque, NM 87102-3836

Fax 505-521-5161

Authorized official

Gabriel Garcia
Owner
5052576868

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