101 Therapy LLC
Organization Active NPI Clinical Psychologist · Albuquerque, NM
NPI 1205404159 · NPPES record last updated Jun 16, 2021
Key facts
- NPI
- 1205404159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- 101 THERAPY LLC
- Practice address
- 508 3Rd St SW
Albuquerque, NM 87102-3836 - Phone
- (505) 257-6868
- Fax
- (505) 521-5161
- NPI assigned
- Jun 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Gabriel Garcia
- Title
- Owner
- Phone
- (505) 257-6868
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
508 3Rd St SW
Albuquerque, NM 87102-3836
Mailing address
508 3Rd St SW
Albuquerque, NM 87102-3836
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- 1918 Winter Street Operating Co LLC
All providers in Albuquerque, NM · Clinical Psychologist 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 Jun 16, 2021. 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.