32 DEGREES GENUINE, LLC (NPI# 1255896353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255896353 |
Entity Type | Organization |
Organization Name | 32 DEGREES GENUINE, LLC |
Practice Address |
10143 4th St Nw Albuquerque NM 87114 |
Mailing Address |
10143 4th St Nw Albuquerque NM 87114-2211 |
Practice Telephone | 5054152917 |
Practice Fax Number | 5055140754 |
Mailing Telephone | 5054152917 |
Mailing Fax Number | 5055140754 |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-12-10 |
Authorized Official Name | JESSICA R JOHNSON (THERAPIST/OWNER) |
Authorized Official Telephone | 5054152917 |
Authorized Official Credential | LPCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 63238730 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Cynthia Loop Nw, Albuquerque, NM 871142414 | 5054152917 | 5055140754 |
1709 Girard Blvd Ne, Albuquerque, NM 871061718 | 5054152917 | 5055140754 |
Street Address |
10143 4TH ST NW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
1578980363 | Jazzelle Monroe Girard | Day Training/Habilitation Specialist | 8147 Corn Mountain Pl Nw, Albuquerque, NM 87114 | 2014-03-18 |
Find all providers in zip 87114 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87114 |
Please comment or provide details below to improve the information on 32 DEGREES GENUINE, LLC.
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.