Active NPI
Healing Legacy, Counseling & Emdr
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1265978753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0186741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delfinia Fuentes
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1437332368
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
- Healing Connections Counseling LLC
- Healing Hands Home Health Care Agency LLC
- Healing Happens NM, LLC
- Healing Hearts of Albuquerque LLC
- Healing Journeys, LLC
- Healing Mind, Body and Soul Counseling, LLC.
- Healing Mindfully
- Healing Mindfully LLC
- Healing Pathways Psychotherapy
- Healing Point Acupuncture LLC
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.