MISS AMY KATHLEEN WEISENT LADAC
NPI 1912181264
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM
Active since December 21, 2007
About Miss Amy Kathleen Weisent Ladac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS AMY KATHLEEN WEISENT LADAC (NPI 1912181264) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (0105551) and active in the NPI registry since December 2007.
NPPES Registry Identity
NPI1912181264
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS AMY KATHLEEN WEISENTCredential: LADAC
Location Address1101 LOPEZ RD SWAlbuquerque, NM 87105-3954
Mailing Address1101 Lopez Rd SwAlbuquerque, NM 87105-3954 · (505) 877-7060 · Fax (505) 877-7063
Phone(505) 877-7060
Fax(505) 877-7063
Sole ProprietorNo
Enumeration DateDecember 21, 2007
Last NPPES UpdateJanuary 10, 2008
✔ NPI 1912181264 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · 0105551
1101 LOPEZ RD SW, Albuquerque, NM 87105
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912181264, enumerated as an "individual" on December 21, 2007.
The provider is located at 1101 LOPEZ RD SW ALBUQUERQUE, NM 87105 and the phone number is (505) 877-7060.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).