MR. ROBERT B GALLIGAN JR.


Address: 1400 Carlisle Blvd Ne, Albuquerque, NM 87110-5658
Phone: 5053322377

MR. ROBERT B GALLIGAN JR. (NPI# 1578771929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578771929
Entity Type Individual
Full Name MR. ROBERT B GALLIGAN JR.
Credential M.ED., LPCC, LADAC
Practice Address 1400 Carlisle Blvd Ne
Albuquerque
NM 87110-5658
Mailing Address 1400 Carlisle Ne
Albuquerque
NM 87110-0000
Practice Telephone 5053322377
Practice Fax Number 5052747279
Mailing Telephone 5053322377
Mailing Fax Number 5052747279
Enumeration Date 2007-05-18
Last Update Date 2012-12-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
3442 NM Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
0080391 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM LADAC 3442 01
NM LPCC 0080391 01

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Office Location

Street Address 1400 CARLISLE BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87110-5658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841268158 Virginia C Vary Social Worker 1400 Carlisle Blvd Ne, Suite C, Albuquerque, NM 87110-5658 2006-03-11
1366891228 Jeanmarie Keim Psychologist 1400 Carlisle Blvd Ne, Suite 1, Albuquerque, NM 87110-5658 2016-06-10
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1477801793 Brian Edward Miller Counselor 1400 Carlisle Blvd Ne, Suite B, Albuquerque, NM 87110-5658 2012-08-16
1679710677 Allison Benton Goss, LLC Clinic/Center 1400 Carlisle Blvd Ne, Suite A, Albuquerque, NM 87110-5667 2009-01-13
1841452802 Tamara M Auger Counselor 1400 Carlisle Blvd Ne, Suite D, Albuquerque, NM 87110-5658 2008-06-30
1144370917 Lorian Kostranchuk, Md, LLC Psychiatry & Neurology 1400 Carlisle Blvd Ne, Suite B, Albuquerque, NM 87110-5658 2007-01-11
1831251586 Lorian J. Kostranchuk Psychiatry & Neurology 1400 Carlisle Blvd Ne, Suite B, Albuquerque, NM 87110-5658 2006-12-15
1043378227 Pathfinder Visions, Inc. Counselor 1400 Carlisle Blvd Ne, Suite A, Albuquerque, NM 87110-5658 2006-12-04
1326112442 Allison Benton Goss Social Worker 1400 Carlisle Blvd Ne, Suite A, Albuquerque, NM 87110-5667 2006-11-20
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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