COURAGEOUS TRANSFORMATIONS, INC (NPI# 1568838795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568838795 |
| Entity Type | Organization |
| Organization Name | COURAGEOUS TRANSFORMATIONS, INC |
| Practice Address |
3301 Los Arboles Ave Ne Albuquerque NM 87107-1943 |
| Mailing Address |
Po Box 35014 Albuquerque NM 87176-5014 |
| Practice Telephone | 5058007092 |
| Mailing Telephone | 5058007092 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | CHARLOTTE BREEDEN (CEO/DIRECTOR) |
| Authorized Official Telephone | 5058007092 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
NM10061M | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37101056 | 05 | |
| NM | 50981331 | 05 |
| Street Address |
3301 LOS ARBOLES AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109640 | Linda Marie Beldin-korter | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2005-10-25 |
| 1134738651 | Antonio N Johnson | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-07-30 |
| 1346869054 | Brandi Encinias | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-04-13 |
| 1497395396 | Abbas Khan | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-01-09 |
| 1861032765 | Bryce Devin Downey | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-01-09 |
| 1194373316 | Adan A Carriaga | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2019-08-30 |
| 1457911497 | Ashley Charzuk | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2019-06-20 |
| 1710449392 | Natasha Garcia | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2019-04-03 |
| 1114412988 | Selina Law | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2018-06-25 |
| 1942797402 | Charissa Rae Whinery | Registered Nurse | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512199 | Metro Treatment of New Mexico Lp | Clinic/Center | 9421 Coors Blvd Nw Ste J&k, Albuquerque, NM 87114-5025 | 2020-03-06 |
| 1447464664 | Unm Hospital | Clinic/Center | 2600 Marble Ave., N.e., Albuquerque, NM 87106-2058 | 2007-05-09 |
| 1700407277 | State of The Heart Recovery Inc. | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2020-05-06 |
| 1598015356 | Recovery Services of New Mexico Mdc | Clinic/Center | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2012-09-19 |
| 1639479520 | University of New Mexico Hospitals Asap | Clinic/Center | 2450 Alamo Ave Se, Albuquerque, NM 87106-3204 | 2010-10-26 |
| 1962634329 | Recovery Services of New Mexico | Clinic/Center | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689021735 | Taos Addiction Treatment Services | Clinic/Center | 1339 Paseo Del Pueblo Sur, Taos, NM 87571-5972 | 2016-05-18 |
| 1194104141 | Recovery Services of New Mexico | Clinic/Center | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2015-05-22 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| 1609089408 | Una Ala Clinic, Inc | Clinic/Center | 104 Los Alamos Hwy, Espanola, NM 87532-2747 | 2007-05-08 |
| 1619273299 | Erneda Espinosa Romero | Clinic/Center | 2001 Chamisa St, Santa Fe, NM 87505-3441 | 2011-01-31 |
| City | ALBUQUERQUE |
| Zip Code | 87107 |
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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.