Healthcare Provider Details

I. General information

NPI: 1376355834
Provider Name (Legal Business Name): ARIADNES THREAD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 EUBANK BLVD NE STE D1
ALBUQUERQUE NM
87123-2759
US

IV. Provider business mailing address

413 PENNSYLVANIA ST NE
ALBUQUERQUE NM
87108-2220
US

V. Phone/Fax

Practice location:
  • Phone: 505-364-3030
  • Fax:
Mailing address:
  • Phone: 505-364-3030
  • 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: AMANDA K HUTCHINSON
Title or Position: OWNER
Credential: LCSW
Phone: 505-364-3030