Families Together/Self Realization Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I05822 Issued in NM

Legal business name

FAMILIES TOGETHER/SELF REALIZATION THERAPY

Practice address

9004 Menaul Blvd NE
Albuquerque, NM 87112-2259

Phone

(505) 440-6009

Fax

(505) 332-8549

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Christine Renee Acklen, LISW

Title

Psychotherapist

Phone

(505) 332-8549

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1669622189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 ARROYO CHAMISA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113716",
            "telephone_number": "505-332-8549",
            "fax_number": "505-332-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122259",
            "telephone_number": "505-440-6009",
            "fax_number": "505-332-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES TOGETHER/SELF REALIZATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "ACKLEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "505-332-8549",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I05822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM100451",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Famiglietta
• Familia Services NM
• Familias de Luz Supportive & Assisted Living
• Families First Therapy, LLC
• Families Plus, Inc
• Family Choice 98TH LLC
• Family Clinic of New Mexico
• Family Dental Centers PA
• Family Dental Health Care
• Family Dental Health Care LLC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.