Kandi Colliier LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0193881 Issued in NM

Legal business name

KANDI COLLIIER LLC

Practice address

3500 Comanche Rd NE Building E
Suite 21
Albuquerque, NM 87059

Phone

(505) 610-1439

Fax

(505) 281-3682

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Kandi Collier, LPCC

Title

Owner

Phone

(505) 610-1439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1851809552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JAKES PL",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870596301",
            "telephone_number": "505-610-1439",
            "fax_number": "505-281-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE BUILDING E",
            "address_2": "SUITE 21",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87059",
            "telephone_number": "505-610-1439",
            "fax_number": "505-281-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDI COLLIIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "KANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-610-1439",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0193881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kan-Di-Ki LLC
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• Gabriel Joseph Kanawite Sr.
• Muhannad S Kanbour, MD
• Admire Kandeya
• Sanjiv Kandiah, MD
• Elizabeth J Kane Lonergan, DPT
• Steve Kane, LMHC
• Whitney Kane, LISW
• Kaimana Burk Moiha Kanekoa

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.