Healthcare Provider Details

I. General information

NPI: 1215553854
Provider Name (Legal Business Name): ALISON MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON DE LA CONCEPCION

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9007 WASHINGTON ST NE
ALBUQUERQUE NM
87113-2722
US

IV. Provider business mailing address

11215 AMMAN AVE NE
ALBUQUERQUE NM
87122-3378
US

V. Phone/Fax

Practice location:
  • Phone: 505-209-3412
  • Fax:
Mailing address:
  • Phone: 571-455-5435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2023-0534
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCMH0215461
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: