Organization
ENLIGHTEN UP THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MCGOUGH (OWNER)
(505) 274-2946
Entity
Organization
Contact information
Practice address
7050 BARSTOW ST NE STE B, ALBUQUERQUE, NM 87111-1056
(505) 274-2946
Mailing address
11133 ACADEMY RIDGE RD NE, ALBUQUERQUE, NM 87111-6868
(505) 274-2946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
05/13/2025
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