Healthcare Provider Details

I. General information

NPI: 1093415531
Provider Name (Legal Business Name): LEIGH ANNE HO LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5916 ANAHEIM AVE NE
ALBUQUERQUE NM
87113-1887
US

IV. Provider business mailing address

5912 OPEN SKY DR NW
ALBUQUERQUE NM
87120-3004
US

V. Phone/Fax

Practice location:
  • Phone: 505-488-1800
  • Fax:
Mailing address:
  • Phone: 505-488-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2026-0834
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: