Healthcare Provider Details

I. General information

NPI: 1043033087
Provider Name (Legal Business Name): J&S THERAPY STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 01/01/2025
Certification Date: 01/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MONTE LARGO DR NE
ALBUQUERQUE NM
87123-1824
US

IV. Provider business mailing address

1100 MONTE LARGO DR NE
ALBUQUERQUE NM
87123-1824
US

V. Phone/Fax

Practice location:
  • Phone: 505-205-3145
  • Fax:
Mailing address:
  • Phone: 505-205-3145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARA YATSATTIE
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 505-205-3145