Healthcare Provider Details

I. General information

NPI: 1740001890
Provider Name (Legal Business Name): BE HEARD THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 INDIAN SCHOOL RD NE STE 208A
ALBUQUERQUE NM
87112-2884
US

IV. Provider business mailing address

3920 LADERA DR NW
ALBUQUERQUE NM
87120-3723
US

V. Phone/Fax

Practice location:
  • Phone: 505-456-4094
  • Fax:
Mailing address:
  • Phone: 505-980-8115
  • 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: LIDIA DALEY
Title or Position: REGISTERED AGENT
Credential:
Phone: 512-589-2113