Healthcare Provider Details

I. General information

NPI: 1790089522
Provider Name (Legal Business Name): COUNSELING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2011
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BARBARA LOOP SE STE H
RIO RANCHO NM
87124-1088
US

IV. Provider business mailing address

1413 DANZANTE DR SE
RIO RANCHO NM
87124-8790
US

V. Phone/Fax

Practice location:
  • Phone: 505-261-3662
  • Fax: 505-274-7278
Mailing address:
  • Phone: 505-896-5549
  • Fax: 505-274-7278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0123111
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0166621
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0123111
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0166621
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateNM
# 6
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0123111
License Number StateNM

VIII. Authorized Official

Name: MRS. ANGELA S ZAFFER
Title or Position: OWNER
Credential: LPCC
Phone: 505-261-3662