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BON CREATIVE CHANGE, LLC
NPI 1366954968
Counselor - Professional in Rio Rancho, NM

Active since November 04, 2017
1400 BARBARA LOOP SE STE H, RIO RANCHO, NM 87124(505) 620-9785 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2017, Nov 4, 2017 (2 updates tracked since 2017).

About Bon Creative Change, Llc NPPES

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

BON CREATIVE CHANGE, LLC (NPI 1366954968) is a healthcare organization registered as a professional in Rio Rancho, New Mexico and active in the NPI registry since November 2017. The organization lists Bonnie J Boucher, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1366954968
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBON CREATIVE CHANGE, LLC
Location Address1400 BARBARA LOOP SE STE HRio Rancho, NM 87124-1088
Mailing Address11024 Montgomery Blvd Ne # 359Albuquerque, NM 87111-3962 · (505) 620-9785
Phone(505) 620-9785
Organization SubpartNo
Authorized OfficialBonnie J BoucherOwner/director · (505) 620-9785
Enumeration DateNovember 4, 2017
Last NPPES UpdateJanuary 24, 20182 updates tracked since enumeration
✔ NPI 1366954968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NM · 0124121✔ Licensed in NM · O124121
1400 BARBARA LOOP SE STE H, Rio Rancho, NM 87124
Open in Google Maps ↗

Other Identifiers 1

Other0124121NM · Lpcc License

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

Other Providers at the Same Location NPPES 2

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

STEVEN J ZAFFER LPCC
Counselor (Professional)
1400 BARBARA LOOP SE STE H
RIO RANCHO, NM 87124
Sandoval County (505) 319-2057
GEORGIA D STEVENS LPCC
Counselor (Mental Health)
1400 BARBARA LOOP SE STE H
RIO RANCHO, NM 87124
Sandoval County (505) 891-1583

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 Bon Creative Change, LLC's NPI number?

The NPI number for Bon Creative Change, LLC is 1366954968. It was assigned to this organization in the NPPES registry on November 4, 2017.

Where is Bon Creative Change, LLC located?

Bon Creative Change, LLC is located at 1400 Barbara Loop SE Ste H, Rio Rancho, NM 87124. The listed phone number is (505) 620-9785.

What is Bon Creative Change, 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 Bon Creative Change, LLC was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.