DESERT WISE LLC (NPI# 1306334800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306334800 |
| Entity Type | Organization |
| Organization Name | DESERT WISE LLC |
| Practice Address |
1201 Eubank Blvd Ne Ste 1 Albuquerque NM 87112-5300 |
| Practice Telephone | 5053611957 |
| Practice Fax Number | 5053691851 |
| Mailing Telephone | 5053611957 |
| Mailing Fax Number | 5053691851 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | DR. JOYE L HENRIE (OWNER) |
| Authorized Official Telephone | 5053611957 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1457 | NM | Ambulatory Health Care Facilities |
| Street Address |
1201 EUBANK BLVD NE STE 1 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316178247 | Kyle Bamberg | Hearing Instrument Specialist | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2009-07-27 |
| 1417554536 | Jemia Warner | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2020-10-01 |
| 1427685585 | Spire Group | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2020-03-26 |
| 1912404328 | Agate Dynamics, LLC | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2018-04-11 |
| 1679072672 | The Oak Bower, LLC | Clinic/Center | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112 | 2018-02-05 |
| 1861894644 | Michelle Ault | Social Worker | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2014-09-23 |
| 1316280480 | Joye L Henrie | Psychologist | 1201 Eubank Blvd Ne Ste 1, Albuquerque, NM 87112-5300 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873757 | Healing Pathways Psychotherapy | Clinic/Center | 315 Alameda Blvd Ne, Albuquerque, NM 87113-1569 | 2020-05-20 |
| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1902340607 | A New Path Counseling | Clinic/Center | 10417 San Jacinto Ave Ne, Albuquerque, NM 87112-5341 | 2016-12-14 |
| 1598000721 | Neuromental Health Services, Inc | Clinic/Center | 711 Encino Pl Ne Ste F, Albuquerque, NM 87102-2649 | 2012-11-28 |
| 1740428879 | Cynthia Sontag, Lisw, PC | Clinic/Center | 1300 Lomas Blvd Nw, Albuquerque, NM 87104-1234 | 2009-01-28 |
| 1477193118 | Blue Mesa Psychiatry and Counseling LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2020-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.