MEDICARE: UNIVERSAL COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0137231	NM

General Provider Information

NPI Number	:	1699072538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL COUNSELING LLC

Provider Business Mailing Address
First Line	:	4011 BARBARA LOOP SE STE 205
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-1041
Country	:	US
Telephone Number	:	505-859-7734
Fax Number	:

Provider Business Practice Location Address
First Line	:	4011 BARBARA LOOP SE STE 205
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-1041
Country	:	US
Telephone Number	:	505-859-7734
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALER
Name	:	BIANCA LEYBA
Credential	:
Telephone Number	:	505-991-3150

Provider Enumeration Date	:	02/11/2011
Last Update Date	:	11/06/2025

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