Healthcare Provider Details

I. General information

NPI: 1538283858
Provider Name (Legal Business Name): ISABELLA SIENNA ANISA COALSON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 YALE BLVD NE
ALBUQUERQUE NM
87131-7601
US

IV. Provider business mailing address

1001 YALE BLVD NE
ALBUQUERQUE NM
87106-3825
US

V. Phone/Fax

Practice location:
  • Phone: 505-506-0315
  • Fax: 505-272-1940
Mailing address:
  • Phone: 505-506-0315
  • Fax: 505-272-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0085551
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: