Organization
OR PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAROLETTE ANNE COLLINS PMHNP-BC (OWNER)
(505) 280-3936
Entity
Organization
Contact information
Practice address
7007 WYOMING BLVD NE STE F1, ALBUQUERQUE, NM 87109-3983
(505) 280-3936
Mailing address
695 BLUEBIRD LN NE, ALBUQUERQUE, NM 87122-1805
(505) 280-3936
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548022544
—
NM
Enumeration date
02/12/2024
Last updated
02/12/2024
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