Healthcare Provider Details

I. General information

NPI: 1184579500
Provider Name (Legal Business Name): MS. CATHERINE ELIZABETH CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 GOLD AVE SW STE 102
ALBUQUERQUE NM
87102-3187
US

IV. Provider business mailing address

10801 CENTRAL PARK DR NE
ALBUQUERQUE NM
87123-4889
US

V. Phone/Fax

Practice location:
  • Phone: 505-498-7622
  • Fax:
Mailing address:
  • Phone: 602-292-6619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: