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General NPI Number Information
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NPI Number | 1700690088
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Entity Type | Organization
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Legal Business Name | IN BALANCE BEHAVIORAL & FAMILY THERAPIES
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 4233 MONTGOMERY BLVD NE STE J-100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6749
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Country | US
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Telephone | 505-523-6313
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Fax | 505-213-3439
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Provider Business Mailing Address
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Address Line | 4233 MONTGOMERY BLVD NE STE J-100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6749
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Country | US
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Telephone | 505-523-6313
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Fax | 505-213-3439
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MISS HOLLY BARRETT HOPS
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Credential | PHD
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Telephone | 505-523-6313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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