Healthcare Provider Details

I. General information

NPI: 1770355505
Provider Name (Legal Business Name): WEI-SHUEN ORMAN CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MACIEL DR NW
ALBUQUERQUE NM
87104-1976
US

IV. Provider business mailing address

1101 MACIEL DR NW
ALBUQUERQUE NM
87104-1976
US

V. Phone/Fax

Practice location:
  • Phone: 575-613-5223
  • Fax:
Mailing address:
  • Phone: 575-613-5223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2026-0513
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: