Healthcare Provider Details

I. General information

NPI: 1245109537
Provider Name (Legal Business Name): HC&MH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 SPAIN RD NE STE 9
ALBUQUERQUE NM
87111-1871
US

IV. Provider business mailing address

11005 SPAIN RD NE STE 9
ALBUQUERQUE NM
87111-1871
US

V. Phone/Fax

Practice location:
  • Phone: 505-481-9236
  • Fax:
Mailing address:
  • Phone: 505-481-9236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GARY L GIRON
Title or Position: OWNER
Credential:
Phone: 505-481-9236