Healthcare Provider Details
I. General information
NPI: 1780062489
Provider Name (Legal Business Name): INTERACTIONMATTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2015
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 GOLD AVE SW # 548
ALBUQUERQUE NM
87102-3335
US
IV. Provider business mailing address
PO BOX 33048
BELFAST ME
04915-0608
US
V. Phone/Fax
- Phone: 702-589-4871
- Fax:
- Phone: 702-589-4871
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | C-08981 |
| License Number State | NM |
VIII. Authorized Official
Name:
KRISTA
HUEY
Title or Position: DIRECTOR OF CCRCM
Credential: MBA, MHA
Phone: 702-589-4871