Organization
BON CREATIVE CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE J BOUCHER LPCC (OWNER/DIRECTOR)
(505) 620-9785
Entity
Organization
Contact information
Practice address
1400 BARBARA LOOP SE STE H, RIO RANCHO, NM 87124-1088
(505) 620-9785
Mailing address
11024 MONTGOMERY BLVD NE # 359, ALBUQUERQUE, NM 87111-3962
(505) 620-9785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0124121
NM
101YP2500X
Professional Counselor
O124121
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124121
LPCC LICENSE
NM
Enumeration date
11/04/2017
Last updated
01/24/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up