VICTORIA MILDREN (NPI# 1225425481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225425481 |
| Entity Type | Individual |
| Full Name | VICTORIA MILDREN |
| Credential | LSAA |
| Practice Address |
9038 Port Rd Nw Albuquerque NM 87121-1967 |
| Practice Telephone | 5058181472 |
| Mailing Telephone | 5058181472 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NM | Behavioral Health & Social Service Providers |
| Street Address |
9038 PORT RD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| 1245719665 | Ashley Tapia | Counselor | 125 Candelaria Rd Nw, Albuquerque, NM 87107-2210 | 2018-08-07 |
| 1194226415 | Aurora R Cata | Counselor | 1528 5 Pts Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
| 1689198582 | Margaret Ann Garberina | Counselor | 4031 Mackland Ave Ne, Albuquerque, NM 87110-7711 | 2017-08-01 |
| 1699229559 | Louise Blazquez | Counselor | 8000 Roma Ave Ne, Albuquerque, NM 87108-2334 | 2016-08-09 |
| 1861848632 | Recovery Services of New Mexico, LLC | Counselor | 1711 Isleta Blvd Sw, Albuquerque, NM 87105-4635 | 2016-05-10 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1285095257 | Robert Barnes | Counselor | 8613 Democracy Rd Ne, Albuquerque, NM 87109-5181 | 2016-03-17 |
| 1366809089 | Elizabeth Hawkins | Counselor | 7005 Avenida La Costa Ne, Albuquerque, NM 87109-3927 | 2016-01-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on VICTORIA MILDREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.