Healthcare Provider Details

I. General information

NPI: 1891892865
Provider Name (Legal Business Name): SYNCHRONICITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/23/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12412 MENAUL NE
ALBUQUERQUE NM
87112-2556
US

IV. Provider business mailing address

9214 LAS CAMAS RD NE
ALBUQUERQUE NM
87111-2432
US

V. Phone/Fax

Practice location:
  • Phone: 505-710-1640
  • Fax: 505-296-0878
Mailing address:
  • Phone: 505-710-1640
  • Fax: 505-296-0878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number402
License Number StateNM

VIII. Authorized Official

Name: MRS. KARI WARD KARR
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 505-710-1640