MR. EDWARD THOMAS CHURCH III LPCC
NPI 1891862462
Counselor - Mental Health in Albuquerque, NM
Active since November 29, 2006
About Mr. Edward Thomas Church Iii Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD THOMAS CHURCH III LPCC (NPI 1891862462) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (0085761) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1891862462
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDWARD THOMAS CHURCH IIICredential: LPCC
Location Address1330 SAN PEDRO DR NE, SUITE 201BAlbuquerque, NM 87110-6744
Mailing Address4001 Blue Ridge Pl NeAlbuquerque, NM 87111-4168 · (505) 299-1634
Phone(505) 260-9912
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateSeptember 18, 2013
✔ NPI 1891862462 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · 0085761
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0085761 (NM)
1330 SAN PEDRO DR NE, Albuquerque, NM 87110
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.
Social Worker (Clinical)
1330 SAN PEDRO DR NE, #201-B
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891862462, enumerated as an "individual" on November 29, 2006.
The provider is located at 1330 SAN PEDRO DR NE SUITE 201B ALBUQUERQUE, NM 87110 and the phone number is (505) 260-9912.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
