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General NPI Number Information
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NPI Number | 1699072538
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Entity Type | Organization
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Legal Business Name | UNIVERSAL COUNSELING LLC
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Dates
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Enumeration Date | 02/11/2011
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 4011 BARBARA LOOP SE STE 205
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City | RIO RANCHO
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State | NM
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Zip | 87124-1041
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Country | US
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Telephone | 505-859-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 4011 BARBARA LOOP SE STE 205
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City | RIO RANCHO
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State | NM
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Zip | 87124-1041
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Country | US
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Telephone | 505-859-7734
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Fax |
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Authorized Official
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Title or Position | CREDENTIALER
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Name | BIANCA LEYBA
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Credential |
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Telephone | 505-991-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0137231
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License Number State | NM
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