Organization
LIFE RE-CREATED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHRYN GLENDAY (OWNER)
(505) 264-4082
Entity
Organization
Contact information
Practice address
713 ALVARADO DR SE, ALBUQUERQUE, NM 87108-3624
(505) 264-4082
(833) 964-0176
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 226-1960
(505) 672-7769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
04/16/2024
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