Healthcare Provider Details

I. General information

NPI: 1932449659
Provider Name (Legal Business Name): ANA M HOUTMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANA MARIA MAESTAS

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 EUBANK BLVD NE STE 150
ALBUQUERQUE NM
87111-1555
US

IV. Provider business mailing address

579 VIA PATRIA SW STE B
ALBUQUERQUE NM
87121-9328
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 TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCTB-2022-0045
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: