Organization
CEREBRAL SOLUTIONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA SMALLEY LMFT (OWNER)
(505) 900-5084
Entity
Organization
Contact information
Practice address
10131 COORS BLVD NW STE H8, ALBUQUERQUE, NM 87114-4048
(505) 900-5084
Mailing address
10813 BUCKBOARD ST NW, ALBUQUERQUE, NM 87114-5464
(505) 818-9762
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28104536
—
NM
Enumeration date
03/03/2023
Last updated
03/03/2023
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