Organization Active NPI

Healing Legacy, Counseling & Emdr

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1265978753
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0186741 Issued in NM
Legal business name
HEALING LEGACY, COUNSELING & EMDR
Practice address
4704 Marbella Dr NW
Albuquerque, NM 87120-4666
Phone
(505) 307-4775
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Delfinia FuentesNPI 1437332368
Title
Owner
Phone
(505) 235-4221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0186741 NM Primary

Addresses

Primary practice location

4704 Marbella Dr NW
Albuquerque, NM 87120-4666

Mailing address

4704 Marbella Dr NW
Albuquerque, NM 87120-4666
Phone (505) 307-4775

Other names 1

  • FM Family Advocacy LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1265978753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 MARBELLA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204666",
            "telephone_number": "505-307-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 MARBELLA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204666",
            "telephone_number": "505-307-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LEGACY, COUNSELING & EMDR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "DELFINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-235-4221"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0186741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FM Family Advocacy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.