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General NPI Number Information
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NPI Number | 1023314127
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Entity Type | Organization
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Legal Business Name | WALSH COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2155 LOUISIANA BLVD NE STE 4200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-5433
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Country | US
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Telephone | 505-266-0441
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Fax | 505-266-0504
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Provider Business Mailing Address
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Address Line | 2155 LOUISIANA BLVD NE STE 4200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-5433
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Country | US
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Telephone | 505-266-0441
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Fax | 505-266-0504
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. PETER WALSH
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Credential | LISW
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Telephone | 505-363-2492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I-07102
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License Number State | NM
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