Healthcare Provider Details

I. General information

NPI: 1780304014
Provider Name (Legal Business Name): BEST VERSION COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6448 HOPS CT NW
ALBUQUERQUE NM
87120-4286
US

IV. Provider business mailing address

PO BOX 65073
ALBUQUERQUE NM
87193-5073
US

V. Phone/Fax

Practice location:
  • Phone: 505-710-3255
  • Fax:
Mailing address:
  • Phone: 505-420-2645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARAH LEE
Title or Position: OWNER
Credential: LMFT
Phone: 505-710-3255