Healthcare Provider Details

I. General information

NPI: 1356087720
Provider Name (Legal Business Name): THE HOUTMAN GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MEDICAL ARTS AVE NE BLDG 3
ALBUQUERQUE NM
87102-2722
US

IV. Provider business mailing address

7619 VIA COMETA SW
ALBUQUERQUE NM
87121-2336
US

V. Phone/Fax

Practice location:
  • Phone: 575-635-7557
  • Fax:
Mailing address:
  • Phone: 575-635-7557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANA MARIA HOUTMAN
Title or Position: THERAPIST/OWNER
Credential: LMFT
Phone: 575-635-7557