Healthcare Provider Details

I. General information

NPI: 1508783143
Provider Name (Legal Business Name): FELLOW TRAVELERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 PINON HEIGHTS RD
SANDIA PARK NM
87047-9301
US

IV. Provider business mailing address

74 PINON HEIGHTS RD
SANDIA PARK NM
87047-9301
US

V. Phone/Fax

Practice location:
  • Phone: 505-250-3944
  • Fax:
Mailing address:
  • Phone: 505-250-3944
  • 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: ALISON ROBERTS
Title or Position: OWNER
Credential: LPCC
Phone: 505-250-3944