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General NPI Number Information
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NPI Number | 1790993129
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Entity Type | Individual
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Provider Name | AMARA M HEISING LMFT, LADAC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5901 ZUNI RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-3073
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Country | US
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Telephone | 505-841-8978
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Fax | 505-841-8977
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Provider Business Mailing Address
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Address Line | PO BOX 80810
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City | ALBUQUERQUE
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State | NM
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Zip | 87198-0810
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Country | US
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Telephone | 505-841-8978
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Fax | 505-841-8977
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3916
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0073891
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License Number State | NM
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