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Organization

NEW MEXICO THERAPEUTIC SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLE M PARSONS (CHIEF OPERATIONS OFFICER)
(505) 907-7436
Entity
Organization

Contact information

Practice address
709 CENTRAL AVE NW, ALBUQUERQUE, NM 87102-3007
(505) 907-7436
Mailing address
709 CENTRAL AVE NW, ALBUQUERQUE, NM 87102-3007

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
2084P0805X
Geriatric Psychiatry Physician
221700000X
Art Therapist
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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