Healthcare Provider Details

I. General information

NPI: 1154540250
Provider Name (Legal Business Name): LIFE STRATEGIES COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 MONTGOMERY BLVD NE
ALBUQUERQUE NM
87109-1103
US

IV. Provider business mailing address

4225 MONTGOMERY BLVD NE
ALBUQUERQUE NM
87109-1103
US

V. Phone/Fax

Practice location:
  • Phone: 505-881-1820
  • Fax: 505-881-1850
Mailing address:
  • Phone: 505-881-1820
  • Fax: 505-881-1850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number69282
License Number StateNM

VIII. Authorized Official

Name: MS. YVONNE M SCHMIDT
Title or Position: EXEC. DIRECTOR
Credential: LPCC
Phone: 505-881-1820