Healthcare Provider Details

I. General information

NPI: 1568982700
Provider Name (Legal Business Name): DISCOVERING GREATNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 SILVER AVE SW
ALBUQUERQUE NM
87102-3123
US

IV. Provider business mailing address

625 SILVER AVE SW STE 345
ALBUQUERQUE NM
87102-3111
US

V. Phone/Fax

Practice location:
  • Phone: 505-842-8435
  • Fax: 505-842-8435
Mailing address:
  • Phone: 505-470-0661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERESA HOMER
Title or Position: MANAGER/ OWNER
Credential: MA, LPCC
Phone: 505-842-8435