# SOUTHWEST FAMILY GUIDANCE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184748394
- **Authorized official:** DR. CRAIG L PIERCE PHD (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (505) 830-1781

## Contact information

- **Practice address:** 2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
- **Practice address phone:** (505) 830-1871
- **Practice address fax:** (505) 830-0040
- **Mailing address:** 2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
- **Mailing address phone:** (505) 830-1871
- **Mailing address fax:** (505) 830-0040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 01/17/2024