MR. STEPHEN LAWRENCE FORTESS


Address: 6301 Central Ave Nw, Albuquerque, NM 87105-2036
Phone: 5053523417

MR. STEPHEN LAWRENCE FORTESS (NPI# 1639505548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639505548
Entity Type Individual
Full Name MR. STEPHEN LAWRENCE FORTESS
Credential LPCC
Practice Address 6301 Central Ave Nw
Albuquerque
NM 87105-2036
Mailing Address 6301 Central Nw
Albuquerque
NM 87105
Practice Telephone 5053523417
Practice Fax Number 5053523400
Mailing Telephone 5053523417
Mailing Fax Number 5053523400
Enumeration Date 2013-09-24
Last Update Date 2013-09-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0931 NM Behavioral Health & Social Service Providers

Office Location

Street Address 6301 CENTRAL AVE NW
City ALBUQUERQUE
State NM
Zip Code 87105-2036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356468375 Diana Lopez Counselor 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2007-03-23
1518501972 Jennifer Ann Chavez Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2019-10-29
1124573696 Katherine Hellebust Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2016-08-24
1932654407 Delma Madrigal Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2016-08-24
1508134511 Monica Marie Chavez Social Worker 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2011-12-05
1679877682 Joseph Padilla Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2011-01-05
1821399023 Russell Rutherford Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2010-11-04
1871893263 Pete Gabaldon Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2010-11-01
1649570243 Louis Pacias Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2010-10-28
1659671246 Christopher Michael Baca Case Manager/Care Coordinator 6301 Central Ave Nw, Albuquerque, NM 87105-2036 2010-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1316439920 Deann Nieto Rehabilitation Practitioner 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 2018-05-31
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1306360391 Bendiciones Home Health Care Home Health 5500 Cleo Rd. Sw, Albuquerque, NM 87105 2017-08-01
1578927711 Clarence Mills Counselor 1528 Five Points Rd Nw, Albuquerque, NM 87105 2016-04-13
1386024727 Rachel Elaine Kadetz Counselor 1101 Lopez Rd. Sw, Albuquerque, NM 87105 2015-06-01
1598160772 Sandra Jean Taylor Lactation Consultant, Non-RN 1305 Blake Rd Sw, Albuquerque, NM 87105 2014-10-30
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87105

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Dataset Information

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.

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