Healthcare Provider Details

I. General information

NPI: 1013303585
Provider Name (Legal Business Name): PRESENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2015
Last Update Date: 04/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 MATTHEW AVE NW
ALBUQUERQUE NM
87104-3211
US

IV. Provider business mailing address

2130 MATTHEW AVE NW
ALBUQUERQUE NM
87104-3211
US

V. Phone/Fax

Practice location:
  • Phone: 505-056-3886
  • Fax:
Mailing address:
  • Phone: 505-506-3886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0143771
License Number StateNM

VIII. Authorized Official

Name: MS. ROCHELLE YOUNG
Title or Position: PSYCHOTHERAPIST
Credential: LPCC
Phone: 505-506-3886