Healthcare Provider Details

I. General information

NPI: 1356493647
Provider Name (Legal Business Name): JUDITH FLEISCHMAN & WILLIAM CHAMBREAU, PRTNRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 LOUISIANA BLVD NE SUITE E-2
ALBUQUERQUE NM
87110-6900
US

IV. Provider business mailing address

1803 LOUISIANA BLVD NE SUITE E-2
ALBUQUERQUE NM
87110-6900
US

V. Phone/Fax

Practice location:
  • Phone: 505-266-5959
  • Fax: 505-286-1027
Mailing address:
  • Phone: 505-266-5959
  • Fax: 505-286-1027

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: WILLIAM CHAMBREAU
Title or Position: GENERAL PARTNER AND PROVIDER
Credential: LMSW AND LPCC
Phone: 505-247-8853