Healthcare Provider Details

I. General information

NPI: 1679963292
Provider Name (Legal Business Name): JANUS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 03/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 LOUISIANA BLVD NE SUITE B2
ALBUQUERQUE NM
87110
US

IV. Provider business mailing address

2900 LOUISIANA BLVD NE SUITE B2
ALBUQUERQUE NM
87110
US

V. Phone/Fax

Practice location:
  • Phone: 505-361-1011
  • Fax:
Mailing address:
  • Phone: 505-361-1011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0161371
License Number StateNM

VIII. Authorized Official

Name: LAURA C BUELL
Title or Position: OWNER/COUNSELOR
Credential:
Phone: 505-361-1011