Healthcare Provider Details

I. General information

NPI: 1538540091
Provider Name (Legal Business Name): ALTERNATIVES COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 E LOHMAN AVE SUITE 110
LAS CRUSES NM
88001-3172
US

IV. Provider business mailing address

P.O. 14888
ALBUQUERQUE NM
87191-4888
US

V. Phone/Fax

Practice location:
  • Phone: 915-422-1968
  • Fax: 505-212-0332
Mailing address:
  • Phone: 505-250-0540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH T ATENCIO
Title or Position: CREDENTIALING/CONTRACTING ADMINISTR
Credential:
Phone: 505-250-0540