Healthcare Provider Details

I. General information

NPI: 1104751361
Provider Name (Legal Business Name): PATRICIA CAROL SAINZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SAN PEDRO DR NE
ALBUQUERQUE NM
87110-6734
US

IV. Provider business mailing address

10639 FOUR MILE RD SW
ALBUQUERQUE NM
87121-2633
US

V. Phone/Fax

Practice location:
  • Phone: 877-818-6054
  • Fax:
Mailing address:
  • Phone: 505-717-6454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2026-0471
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: