MRS. BREANNA MINOR
NPI 1609587468
Counselor - Professional in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since December 12, 2022

4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107(505) 220-6633 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2024, Dec 12, 2022 (2 updates tracked since 2022).

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About Mrs. Breanna Minor NPPES

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

MRS. BREANNA MINOR (NPI 1609587468) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-20240230) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1609587468

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. BREANNA MINOR

Location Address4201 CARLISLE BLVD NEAlbuquerque, NM 87107-4808

Mailing Address4201 Carlisle Blvd NeAlbuquerque, NM 87107-4808 · (505) 220-6633

Phone(505) 220-6633

Sole ProprietorYes

Enumeration DateDecember 12, 2022

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1609587468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NM · CTB-20240230

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

4201 CARLISLE BLVD NE, Albuquerque, NM 87107

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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.

RENE GONZALEZ MD

Psychiatry & Neurology (Psychiatry)