Healthcare Provider Details

I. General information

NPI: 1700690088
Provider Name (Legal Business Name): IN BALANCE BEHAVIORAL & FAMILY THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4233 MONTGOMERY BLVD NE STE J-100
ALBUQUERQUE NM
87109-6749
US

IV. Provider business mailing address

4233 MONTGOMERY BLVD NE STE J-100
ALBUQUERQUE NM
87109-6749
US

V. Phone/Fax

Practice location:
  • Phone: 505-523-6313
  • Fax: 505-213-3439
Mailing address:
  • Phone: 505-523-6313
  • Fax: 505-213-3439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MISS HOLLY BARRETT HOPS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD
Phone: 505-523-6313