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Organization

THE ENHANCEMENT CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES SHOTWELL (DIRECTOR)
(505) 891-1583
Entity
Organization

Contact information

Practice address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110
(505) 891-1583
(505) 891-1768
Mailing address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 891-1583
(505) 891-1768

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TF0200X
Forensic Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201079994
PRESBYTERIAN HEALTH PLAN
NM
05
3749327
TX
05
93488327
NM
01
NM600190
VALUEOPTIONS NEW MEXICO
NM
Enumeration date
09/20/2006
Last updated
03/20/2019
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