Self Love Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SELF LOVE COUNSELING, LLC

Practice address

10700 Academy Rd NE Apt 1213
Albuquerque, NM 87111-7333

Phone

(206) 351-1323

Fax

(425) 215-4145

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Pamela Louise Hubbard, LPCC

Title

Owner/Ceo

Phone

(206) 351-1323

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1861141293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91565",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871991565",
            "telephone_number": "206-351-1323",
            "fax_number": "425-215-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 ACADEMY RD NE APT 1213",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117333",
            "telephone_number": "206-351-1323",
            "fax_number": "425-215-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF LOVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "206-351-1323",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891157798",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secure messaging system",
            "address_1": "10700 Academy Rd NE Apt 1213",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871117333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.