THE OAK BOWER, LLC (NPI# 1679072672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679072672 |
| Entity Type | Organization |
| Organization Name | THE OAK BOWER, LLC |
| Practice Address |
1201 Eubank Blvd Ne Ste 1 Albuquerque NM 87112 |
| Mailing Address |
1201 Eubank Blvd Ne Ste 1 Albuquerque NM 87112-5300 |
| Practice Telephone | 5055031959 |
| Practice Fax Number | 5053691851 |
| Mailing Telephone | 5055031959 |
| Mailing Fax Number | 5053691851 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | DR. AMBER DEON MCEACHERN (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Telephone | 5055031959 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 58883304 | 05 |
| Street Address |
1201 EUBANK BLVD NE STE 1 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316178247 | Kyle Bamberg | Hearing Instrument Specialist | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2009-07-27 |
| 1417554536 | Jemia Warner | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2020-10-01 |
| 1427685585 | Spire Group | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2020-03-26 |
| 1306334800 | Desert Wise LLC | Clinic/Center | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2018-04-30 |
| 1912404328 | Agate Dynamics, LLC | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2018-04-11 |
| 1861894644 | Michelle Ault | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2014-09-23 |
| 1316280480 | Joye L Henrie | Psychologist | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 | 87112 |
Please comment or provide details below to improve the information on THE OAK BOWER, 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.