Ea, Buen Camino LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EA, BUEN CAMINO LLC

Practice address

3539 Thaxton Ave SE
Albuquerque, NM 87106-1628

Phone

(505) 910-2671

NPI assigned

Jan 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fidel Ramirez

Title

Owner

Phone

(505) 910-2671

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1205607934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4352",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871964352",
            "telephone_number": "505-910-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 THAXTON AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061628",
            "telephone_number": "505-910-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA, BUEN CAMINO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-910-2671"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.