Healthcare Provider Details
I. General information
NPI: 1083561898
Provider Name (Legal Business Name): METRONOME CLINICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1209 MOUNTAIN ROAD PL NE STE 7110
ALBUQUERQUE NM
87110-7825
US
IV. Provider business mailing address
1209 MOUNTAIN ROAD PL NE STE 7110
ALBUQUERQUE NM
87110-7825
US
V. Phone/Fax
- Phone: 505-303-0178
- Fax:
- Phone: 505-303-0178
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEANN
HURST
COVINGTON
Title or Position: AUTHORIZED OFFICIAL
Credential: LCSW
Phone: 505-435-0665