Organization
JEANINE FORSYTHE INC.
Active
Other names
Life Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANINE M FORSYTHE M.A., LPCC,CCFC,CCJS (DIRECTOR)
(505) 453-7307
Entity
Organization
Contact information
Practice address
10601 LOMAS BLVD NE STE 108, ALBUQUERQUE, NM 87112-5462
(505) 293-0617
(505) 293-0617
Mailing address
10601 LOMAS BLVD NE STE 108, ALBUQUERQUE, NM 87112-5462
(505) 293-0617
(505) 293-0617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1993
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A1510
—
NM
Enumeration date
01/30/2007
Last updated
08/22/2020
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