Organization · Type 2 NPI

Coffee On the Couch Counseling LLC

Community/Behavioral Health Agency · Albuquerque, NM

NPI number 1881348613 Active

Practice location

2107 Wyoming Blvd NE
Albuquerque, NM 87112-2617

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: 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 suppo…

3 other providers at this address

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NPI record

NPI: 1881348613
Entity type: Organization (Type 2)
Issued: Feb 10, 2022
Last updated: Mar 15, 2022
Status: Active

Other names

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Coffee On the Couch Counseling LLC · doing business as
Coffee On the Couch Counseling LLC · doing business as

Authorized official

Dr. Tracy Hollingworth, LPCC
Founder
(505) 705-0571

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881348613

Coffee On the Couch Counseling LLC's National Provider Identifier is 1881348613, issued on Feb 10, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 15, 2022.