Anchored Therapy LLC
Psychologist, Clinical in Albuquerque, NM. Organization (NPI-2).
NPI number1992562995
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1992562995
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchored Therapy LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
2601 Wyoming Blvd Ne Ste 116Albuquerque, NM 87112-1000
Phone 505-633-0643
Mailing address
8226 Menaul Blvd Ne # 623Albuquerque, NM 87110-4614
Authorized official
Fernando Ortiz
Credentialing Manager
5757078150
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