# ALLISON BENTON GOSS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allison L Benton, LISW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679710677
- **Authorized official:** ALLISON BENTON GOSS LISW (MEMBER)
- **Authorized official phone:** (505) 266-2997

## Contact information

- **Practice address:** 1400 CARLISLE BLVD NE, SUITE A, ALBUQUERQUE, NM 87110-5667
- **Practice address phone:** (505) 266-2997
- **Practice address fax:** (505) 266-3063
- **Mailing address:** 1400 CARLISLE BLVD NE, SUITE A, ALBUQUERQUE, NM 87110-5667
- **Mailing address phone:** (505) 266-2997
- **Mailing address fax:** (505) 266-3063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2009
- **Last updated:** 03/27/2009