Healthcare Provider Details

I. General information

NPI: 1245938364
Provider Name (Legal Business Name): MARGARET CARR LMHC-AS, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAGE CARR

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE NM
87104-2050
US

IV. Provider business mailing address

120 DARTMOUTH DR SE APT D
ALBUQUERQUE NM
87106-2261
US

V. Phone/Fax

Practice location:
  • Phone: 505-702-8112
  • Fax:
Mailing address:
  • Phone: 505-333-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2024-0720
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2024-0720
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: