Healthcare Provider Details
I. General information
NPI: 1275485807
Provider Name (Legal Business Name): PIECE BY PIECE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3321 CANDELARIA RD NE STE 106
ALBUQUERQUE NM
87107-1968
US
IV. Provider business mailing address
PO BOX 35458
ALBUQUERQUE NM
87176-5458
US
V. Phone/Fax
- Phone: 505-225-1059
- Fax:
- Phone: 505-225-1059
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIA
NICOLE
REID
Title or Position: OWNER
Credential: LPCC
Phone: 505-255-1059