Healthcare Provider Details

I. General information

NPI: 1326384330
Provider Name (Legal Business Name): DENNIS ABERNATHY LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CARLISLE BLVD NE STE 225
ALBUQUERQUE NM
87110-1664
US

IV. Provider business mailing address

3200 CARLISLE BLVD NE STE 225
ALBUQUERQUE NM
87110-1664
US

V. Phone/Fax

Practice location:
  • Phone: 505-249-7779
  • Fax: 505-293-0617
Mailing address:
  • Phone: 505-249-7779
  • Fax: 505-293-0617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0150781
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: