| Living On Purpose, Llc | |
|
2929 Coors Blvd Nw Suite 310 Q Albuquerque NM 87120-1173 | |
| (505) 917-1084 | |
| Not Available |
| Full Name | Living On Purpose, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2929 Coors Blvd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Natasha D Moharter (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5059171084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living On Purpose, Llc 2929 Coors Blvd Nw Suite 310 Q Albuquerque NM 87120-1173 Ph: (505) 917-1084 | Living On Purpose, Llc 2929 Coors Blvd Nw Suite 310 Q Albuquerque NM 87120-1173 Ph: (505) 917-1084 |
| NPI Number | 1013462191 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013462191 | NPI | - | NPPES |
| 22430200 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0172691 (New Mexico) | Primary |
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