Active NPI
Forensic Treatment Services
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1467689885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0093551
- Legal business name
- FORENSIC TREATMENT SERVICES
- Practice address
- 111 Gold Ave SE
Albuquerque, NM 87102-3430 - Phone
- (505) 350-5907
- NPI assigned
- Jun 11, 2009
- 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
- Ms. Therese Michelle Duran, MA, LPCC, LADAC
- Title
- Owner, Agency Director
- Phone
- (505) 350-5907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0093551 | NM | Primary |
Addresses
Primary practice location
111 Gold Ave SE
Albuquerque, NM 87102-3430
Mailing address
4 Leibel CT
Los Lunas, NM 87031-5241
Phone (505) 350-5907
National Provider Directory
National Provider DirectoryLocations
111 Gold Ave SE
Albuquerque, NM 87102
Phone (505) 350-5907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244678400000",
"number": "1467689885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LEIBEL CT",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870315241",
"telephone_number": "505-350-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GOLD AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023430",
"telephone_number": "505-350-5907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORENSIC TREATMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-11",
"last_updated": "2009-06-11",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "THERESE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER, AGENCY DIRECTOR",
"authorized_official_telephone_number": "505-350-5907",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LPCC, LADAC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "0093551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.