Healthcare Provider Details

I. General information

NPI: 1669154027
Provider Name (Legal Business Name): CATERPILLAR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 4TH ST NW STE 102
ALBUQUERQUE NM
87102-2104
US

IV. Provider business mailing address

500 4TH ST NW STE 102
ALBUQUERQUE NM
87102-2104
US

V. Phone/Fax

Practice location:
  • Phone: 505-810-2098
  • Fax:
Mailing address:
  • Phone: 505-810-2098
  • 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: ANA MARIA BISONO
Title or Position: CEO/OWNER/THERAPIST
Credential: LPCC
Phone: 505-810-2098