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ILLUMINE INTEGRATIVE THERAPEUTICS LLC
NPI 1265965446
Community/Behavioral Health in Albuquerque, NM

Active since April 05, 2017
707 BROADWAY BLVD NE, SUITE 402, ALBUQUERQUE, NM 87102(505) 796-2975 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illumine Integrative Therapeutics Llc NPPES

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

ILLUMINE INTEGRATIVE THERAPEUTICS LLC (NPI 1265965446) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since April 2017. The organization lists Jeanne Dalen, Owner, as its authorized official.

NPPES Registry Identity

NPI1265965446
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameILLUMINE INTEGRATIVE THERAPEUTICS LLC
Location Address707 BROADWAY BLVD NE, SUITE 402Albuquerque, NM 87102-2360
Mailing Address20 Santa Ana LoopPlacitas, NM 87043-9440 · (505) 796-2975
Phone(505) 796-2975
Organization SubpartNo
Authorized OfficialJeanne DalenOwner · (505) 796-2975
Enumeration DateApril 5, 2017
✔ NPI 1265965446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NM · 1339
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
707 BROADWAY BLVD NE, Albuquerque, NM 87102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA ALVILLAR
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
LYRIC LAWSON-PARKS
Social Worker (Clinical)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
FELISHA LEYBA
Counselor (Mental Health)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
KAI JIN
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
JEFFERY J JOHNSON LPCC
Counselor (Professional)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 382-9169
BERNADETTE CORRREA
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 342-5489
DARLENE SHIRLEY SCHUBERT B.A.
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
MS. MINDA JANE STILLINGS LPC
Counselor (Mental Health)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701

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 Illumine Integrative Therapeutics LLC's NPI number?

The NPI number for Illumine Integrative Therapeutics LLC is 1265965446. It was assigned to this organization in the NPPES registry on April 5, 2017.

Where is Illumine Integrative Therapeutics LLC located?

Illumine Integrative Therapeutics LLC is located at 707 Broadway Blvd NE Suite 402, Albuquerque, NM 87102. The listed phone number is (505) 796-2975.

What is Illumine Integrative Therapeutics LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Illumine Integrative Therapeutics LLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.