Healthcare Provider Details

I. General information

NPI: 1740087477
Provider Name (Legal Business Name): NEVERTHELESS PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 BAY MARE AVE SW
ALBUQUERQUE NM
87121-5043
US

IV. Provider business mailing address

8501 BAY MARE AVE SW
ALBUQUERQUE NM
87121-5043
US

V. Phone/Fax

Practice location:
  • Phone: 505-456-8298
  • Fax: 505-273-6931
Mailing address:
  • Phone: 505-456-8298
  • Fax: 505-273-6931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MOSUNMOLA POPOOLA
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 505-456-8298