EATING DISORDERS TREATMENT CENTER, LLC (NPI# 1871881326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871881326 |
| Entity Type | Organization |
| Organization Name | EATING DISORDERS TREATMENT CENTER, LLC |
| Practice Address |
5203 Juan Tabo Blvd Ne Suite 2-b Albuquerque NM 87111-2683 |
| Practice Telephone | 5052666121 |
| Practice Fax Number | 5052711065 |
| Mailing Telephone | 5052666121 |
| Mailing Fax Number | 5052711065 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | HOLLY ANN FINLAY (DIRECTOR) |
| Authorized Official Telephone | 5052666121 |
| Authorized Official Credential | MA, LPCC, CEDS, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1291 | NM | Agencies |
| Street Address |
5203 JUAN TABO BLVD NE SUITE 2-B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041204 | Melissa Ann Sandford | Counselor | 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2683 | 2019-09-09 |
| 1588113153 | Cynthia Davis-hubler | Counselor | 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2683 | 2016-09-23 |
| 1831547892 | Kelly Monteith | Social Worker | 5203 Juan Tabo Blvd Ne, Ste 2 A, Albuquerque, NM 87111-2683 | 2016-06-01 |
| 1750737656 | Eating Disorders Treatment Center | Counselor | 5203 Juan Tabo Blvd Ne, Suite 2a, Albuquerque, NM 87111-2683 | 2016-05-10 |
| 1538514575 | Katherine Paras | Counselor | 5203 Juan Tabo Blvd Ne, 2a, Albuquerque, NM 87111-2683 | 2016-04-27 |
| 1467825984 | Nicholas Zamora | Counselor | 5203 Juan Tabo Blvd Ne, Suite 2a, Albuquerque, NM 87111-2683 | 2015-11-05 |
| 1588045033 | Dietitiansabq | Dietitian, Registered | 5203 Juan Tabo Blvd Ne, Suite 2e, Albuquerque, NM 87111-2683 | 2015-06-10 |
| 1881089894 | Sandia Surgery Center LLC | Clinic/Center | 5203 Juan Tabo Blvd Ne, Suite 1e, Albuquerque, NM 87111-2683 | 2015-04-06 |
| 1104220672 | Kimberly Reid Payne | Counselor | 5203 Juan Tabo Blvd Ne, Ste 2a, Albuquerque, NM 87111-2683 | 2014-10-13 |
| 1255744199 | Clarissa A Sandoval | Counselor | 5203 Juan Tabo Blvd Ne, 2 A, Albuquerque, NM 87111-2683 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| 1285278242 | Albuquerque United LLC | Community/Behavioral Health | 1100 4th St Nw Ste A, Albuquerque, NM 87102-1416 | 2019-11-03 |
| 1376184150 | True Color Counseling, LLC | Community/Behavioral Health | 3539 Thaxton Ave Se # 3, Albuquerque, NM 87106-1628 | 2019-10-03 |
| 1164073102 | The Growth Place, LLC | Community/Behavioral Health | 301 Graceland Dr Se Ste B, Albuquerque, NM 87108-2778 | 2019-09-20 |
| 1952960312 | Love Is Healing, LLC | Community/Behavioral Health | 120 Dartmouth Dr Se Apt D, Albuquerque, NM 87106-2261 | 2019-06-10 |
| 1144786146 | Seed To Tree Counseling, LLC | Community/Behavioral Health | 104 Serenity Hills Pl Se, Albuquerque, NM 87123-3970 | 2019-02-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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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.