Healthcare Provider Details

I. General information

NPI: 1124530969
Provider Name (Legal Business Name): 1A COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 OFFICE COURT DR STE 404
SANTA FE NM
87507-4914
US

IV. Provider business mailing address

451 CALLE VOLVER
SANTA FE NM
87505-4244
US

V. Phone/Fax

Practice location:
  • Phone: 505-435-8271
  • Fax:
Mailing address:
  • Phone: 915-549-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number0174291
License Number StateNM

VIII. Authorized Official

Name: NICOLE RENEE BORSBERRY
Title or Position: OWNER, SINGLE MEMBER
Credential: LPCC
Phone: 915-549-5257