Healthcare Provider Details

I. General information

NPI: 1154974582
Provider Name (Legal Business Name): ENJOYING THE BLISS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 SPAIN RD NE STE E
ALBUQUERQUE NM
87111-1895
US

IV. Provider business mailing address

9924 CIELITO NORTE WAY NE
ALBUQUERQUE NM
87122-3222
US

V. Phone/Fax

Practice location:
  • Phone: 505-726-4941
  • Fax:
Mailing address:
  • Phone: 505-908-1441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NATALIE GAIL SANCHEZ
Title or Position: OWNER
Credential:
Phone: 505-908-1441