Healthcare Provider Details

I. General information

NPI: 1972471217
Provider Name (Legal Business Name): ERIKA VILLANUEVA
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: ERIKA CONTRERAS

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 LOUISIANA BLVD NE STE 4200
ALBUQUERQUE NM
87110-5433
US

IV. Provider business mailing address

2155 LOUISIANA BLVD NE STE 4200
ALBUQUERQUE NM
87110-5433
US

V. Phone/Fax

Practice location:
  • Phone: 505-266-0441
  • Fax:
Mailing address:
  • Phone:
  • 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:
Title or Position:
Credential:
Phone: