Healthcare Provider Details

I. General information

NPI: 1821712134
Provider Name (Legal Business Name): STEPHANIE ANN WARD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 LA MIRADA PL NE STE 800
ALBUQUERQUE NM
87109-1659
US

IV. Provider business mailing address

515 GIRARD BLVD SE APT K
ALBUQUERQUE NM
87106-2961
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-3879
  • Fax:
Mailing address:
  • Phone: 325-227-9833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2026-0375
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: