Organization
COACHES KORNER & THE EMPOWERMENT CENTER OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY AYDREN MCNEIL (OWNER)
(505) 203-6164
Entity
Organization
Contact information
Practice address
2040 MOON ST NE, ALBUQUERQUE, NM 87112-2709
(505) 203-6164
Mailing address
5555 ZUNI RD SE STE 20-277, ALBUQUERQUE, NM 87108-2942
(505) 203-6164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
0103731
NM
Other
Enumeration date
06/08/2007
Last updated
05/11/2026
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