Organization
ALL FAITHS
Active
Other names
All Faiths Receiving Home, Inc., All Faiths, All Faiths Children's Advocacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA SIMMONS (CREDENTIALING SPECIALIST)
(505) 308-8342
Entity
Organization
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
(505) 271-4957
Mailing address
2201 SAN PEDRO DR NE STE 210, ALBUQUERQUE, NM 87110-4133
(505) 271-0329
(505) 271-4957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M1099
NM
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
M1099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65224086
—
NM
05
—
M1099
—
NM
05
—
N0028140
—
NM
05
—
NM600027
—
NM
Enumeration date
04/25/2007
Last updated
09/09/2025
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