Healthcare Provider Details

I. General information

NPI: 1588165666
Provider Name (Legal Business Name): ZEN AWAKENINGS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 COORS BLVD NW STE 309C
ALBUQUERQUE NM
87120-1425
US

IV. Provider business mailing address

7308 NIQUEL PL NW
ALBUQUERQUE NM
87120-1578
US

V. Phone/Fax

Practice location:
  • Phone: 505-261-1703
  • Fax:
Mailing address:
  • Phone: 505-261-1703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0191101
License Number StateNM

VIII. Authorized Official

Name: JANET L SCHROEDER
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LPCC
Phone: 505-261-1703