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LIFE RE-CREATED LLC
NPI 1033770904
Counselor - Professional in Albuquerque, NM

Active since June 21, 2019
3939 SAN PEDRO DR. NE, BLD C, STE 8, ALBUQUERQUE, NM 87110(505) 369-6756(505) 393-5201 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Jun 21, 2019 (2 updates tracked since 2019).

About Life Re-created Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE RE-CREATED LLC (NPI 1033770904) is a healthcare organization registered as a professional in Albuquerque, New Mexico and active in the NPI registry since June 2019. The organization lists Cathryn Ana Glenday, Owner, as its authorized official.

NPPES Registry Identity

NPI1033770904
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIFE RE-CREATED LLC
Location Address3939 SAN PEDRO DR. NE, BLD C, STE 8Albuquerque, NM 87110
Mailing AddressPo Box 8946, C/o Cathryn GlendayAlbuquerque, NM 87198-8946 · (505) 369-6756 · Fax (505) 393-5201
Phone(505) 369-6756
Fax(505) 393-5201
Organization SubpartNo
Authorized OfficialCathryn Ana GlendayOwner · (505) 369-6756
Enumeration DateJune 21, 2019
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
✔ NPI 1033770904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3939 SAN PEDRO DR. NE, Albuquerque, NM 87110
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Other Identifiers 1

Medicaid9673365NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Re-Created LLC's NPI number?

The NPI number for Life Re-Created LLC is 1033770904. It was assigned to this organization in the NPPES registry on June 21, 2019.

Where is Life Re-Created LLC located?

Life Re-Created LLC is located at 3939 San Pedro Dr. NE Bld C, Ste 8, Albuquerque, NM 87110. The listed phone number is (505) 369-6756.

What is Life Re-Created LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Life Re-Created LLC was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.