MR. LARRY STEVE ARCHULETA SR. SR. (NPI# 1487057246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487057246 |
| Entity Type | Individual |
| Full Name | MR. LARRY STEVE ARCHULETA SR. SR. |
| Credential | LICENSE ALCOHOL & DR |
| Practice Address |
1611 Central Nw Alb. NM 87104 |
| Mailing Address |
8112 Vista Estrella Ln. S.w Alb. NM 87121 |
| Practice Telephone | 5052424622 |
| Practice Fax Number | 5052471373 |
| Mailing Telephone | 5059078699 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3695 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1611 CENTRAL NW |
| City | ALB. |
| State | NM |
| Zip Code | 87104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839639 | Alicia Lovato | Pharmacist | 1731 Towner Ave Nw, Albuquerque, NM 87104 | 2017-09-05 |
| 1649650797 | Anna Marie L Dinallo | Counselor | 1602 Escalante Ave, Albuquerque L, NM 87104 | 2015-06-04 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1275974792 | Mary R. Gomez | Counselor | 1611 Central Ave. Nw, Albuq, NM 87104 | 2013-07-12 |
| 1861727992 | Corrianne H Broner | Counselor | 1208 Claire Court Nw, Albuquerque, NM 87104 | 2009-10-07 |
| 1578711545 | Raymond Louis Zoumar | Anesthesiology | 2312 Campbell Rd Nw, Albuquerque, NM 87104 | 2008-09-03 |
| 1972785756 | Rochelle Young | Counselor | 1316- A Granite Ave. Nw, Albuquerque, NM 87104 | 2007-12-03 |
| 1023134699 | Elizabeth Anne Ferrell | Dental Hygienist | 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 | 2007-03-22 |
| 1366566705 | Abq Home Health Care Inc. | Home Health | 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 | 2007-03-19 |
| 1083754519 | Laura M. Henry | Nurse Anesthetist, Certified Registered | 905 Kinley Avenue Nw, Albuquerque, NM 87104 | 2007-02-07 |
| Find all providers in zip 87104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
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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.