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NPI 1568982700

NPI 1568982700 : DISCOVERING GREATNESS, LLC : ALBUQUERQUE, NM

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General NPI Number Information
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    NPI Number           |    1568982700
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    Entity Type          |    Organization 
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    Legal Business Name  |    DISCOVERING GREATNESS, LLC 
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Dates
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    Enumeration Date     |    06/20/2017
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    625 SILVER AVE SW 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87102-3123
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    Country              |    US
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    Telephone            |    505-842-8435
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    Fax                  |    505-842-8435
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Provider Business Mailing Address
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    Address Line         |    625 SILVER AVE SW STE 345 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87102-3111
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    Country              |    US
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    Telephone            |    505-470-0661
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER/ OWNER
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    Name                 |     TERESA  HOMER 
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    Credential           |    MA, LPCC
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    Telephone            |    505-842-8435
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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