Healthcare Provider Details

I. General information

NPI: 1316026156
Provider Name (Legal Business Name): TALKABOUT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 SAN MATEO BLVD NE SUITE W-4
ALBUQUERQUE NM
87110-4058
US

IV. Provider business mailing address

PO BOX 6493
ALBUQUERQUE NM
87197-6493
US

V. Phone/Fax

Practice location:
  • Phone: 505-615-2223
  • Fax: 505-242-2775
Mailing address:
  • Phone: 505-615-2223
  • 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: MR. JASON BUCKLES
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC
Phone: 505-615-2223