THERAPEUTIC LIVING SERVICES, INC. (NPI# 1316098346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316098346 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC LIVING SERVICES, INC. |
| Practice Address |
5601 Domingo Rd Ne Albuquerque NM 87108-1610 |
| Practice Telephone | 5052685295 |
| Practice Fax Number | 5052689967 |
| Mailing Telephone | 5052685295 |
| Mailing Fax Number | 5052689967 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | MS. BARBARA L CHURCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5052685295 |
| Authorized Official Credential | LPPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | B9311 | 05 |
| Street Address |
5601 DOMINGO RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715036 | Amanda R Chrisman- Replogle | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-06-23 |
| 1801418777 | Harmony Harrell | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-05-13 |
| 1578185708 | Sharon Osborn | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-05-11 |
| 1134758253 | Lauren Harris | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-04-02 |
| 1467089151 | Christopher York | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-03-24 |
| 1063048155 | Jon Bailey | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-03-20 |
| 1164054359 | Aurora Ortiz | Behavior Technician | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-02-06 |
| 1427696186 | Lucy M Brockman | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2019-12-12 |
| 1679114318 | Wendy Jones | Behavioral Analyst | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2019-10-03 |
| 1356998967 | Elizabeth Gerlach | Behavior Technician | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922104 | Indigo Psychotherapy, LLC | Clinic/Center | 6701 Kiowa Ave Ne, Albuquerque, NM 87110-2144 | 2020-08-12 |
| 1548878200 | Lenore Engelhardt Inc | Clinic/Center | 205 Horton Ln Nw, Albuquerque, NM 87114-1052 | 2020-07-20 |
| 1871137042 | State of The Heart Recovery | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2019-10-31 |
| 1659926913 | Deep Roots Counseling, LLC | Clinic/Center | 210 Truman St Ne, Albuquerque, NM 87108-1333 | 2019-08-05 |
| 1568976942 | Inner Compass Counseling LLC | Clinic/Center | 12836 Lomas Blvd Ne Ste B, Albuquerque, NM 87112-6200 | 2017-11-22 |
| 1487166880 | The Healing Place Mental Health Services, LLC | Clinic/Center | 110 2nd St Sw Ste 214, Albuquerque, NM 87102-3337 | 2017-10-26 |
| 1609979608 | Bradford C. Richards | Clinic/Center | 1 San Rafael Avenue Ne, Albuquerque, NM 87122 | 2006-09-06 |
| 1902918055 | Hopeworks | Clinic/Center | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2006-08-31 |
| 1437164811 | New Life Center for Family Development | Clinic/Center | 8338 Comanche Rd Ne, B, Albuquerque, NM 87110-2304 | 2006-07-31 |
| 1497371272 | Standtall Healing, LLC | Clinic/Center | 9301 Indian School Rd Ne Ste 107, Albuquerque, NM 87112-2864 | 2020-06-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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| 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.