3 Moon Therapy LLC
Organization Active NPI Clinical Social Worker · Albuquerque, NM
NPI 1124759006 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1124759006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- 3 MOON THERAPY LLC
- Practice address
- 10913 Apache Ave NE
Albuquerque, NM 87112-3203 - Phone
- (505) 234-6005
- NPI assigned
- Jun 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Mary Duncan, LCSW
- Title
- Therapist
- Phone
- (505) 234-6005
Practitioners 1
-
Mary Ann Duncan, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
10913 Apache Ave NE
Albuquerque, NM 87112-3203
Mailing address
PO Box 53104
Albuquerque, NM 87153-3104
Phone (505) 234-6005
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All providers in Albuquerque, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.