Healthcare Provider Details

I. General information

NPI: 1689246688
Provider Name (Legal Business Name): GOLD PERSPECTIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2021
Last Update Date: 12/15/2024
Certification Date: 12/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 HOLLY AVE NE BLDG 4
ALBUQUERQUE NM
87122-2969
US

IV. Provider business mailing address

3 BLUE BONNET DR
LOS LUNAS NM
87031-6750
US

V. Phone/Fax

Practice location:
  • Phone: 505-336-0403
  • Fax:
Mailing address:
  • Phone: 505-930-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE STRASSER
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 505-336-0403