Healthcare Provider Details

I. General information

NPI: 1043755002
Provider Name (Legal Business Name): THEMIS TRAINING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2016
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 SAN PEDRO DR NE # 118
ALBUQUERQUE NM
87110-4131
US

IV. Provider business mailing address

5915 MAHONEY LN
ALBUQUERQUE NM
87107-4954
US

V. Phone/Fax

Practice location:
  • Phone: 505-463-1970
  • Fax:
Mailing address:
  • Phone: 505-463-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRIS MARTINEZ
Title or Position: BUSINESS OWNER
Credential:
Phone: 505-463-1970