MR. CARL DALLAS BROACH (NPI# 1871788398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871788398 |
| Entity Type | Individual |
| Full Name | MR. CARL DALLAS BROACH |
| Credential | LPCC |
| Practice Address |
5901 Zuni Rd Se Albuquerque NM 87108-3073 |
| Practice Telephone | 5054681562 |
| Mailing Telephone | 5054681562 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
96111 | NM | Behavioral Health & Social Service Providers |
| Street Address |
5901 ZUNI RD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285655837 | Ian Charles Osborn | Psychiatry & Neurology | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2006-07-21 |
| 1104467042 | Angelina Suzanne Chavez | Registered Nurse | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2019-10-02 |
| 1164987848 | Christina Garza | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2019-02-06 |
| 1194236075 | Zachary Elder | Social Worker | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2017-10-18 |
| 1952828089 | Shannon Michelle Foskey | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2017-08-29 |
| 1902351141 | Priya Butcher | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2016-08-17 |
| 1225494248 | Sadhu Khalsa | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2016-01-06 |
| 1437520517 | Jocelyn Herzog | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2015-10-14 |
| 1639419716 | Timothy G. Allen | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2013-02-26 |
| 1477893550 | Dolores Rivera | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
| 1851901243 | David A Weichbrodt LLC | Counselor | 9412 Las Calabazillas Rd Ne, Albuquerque, NM 87111-2540 | 2020-07-31 |
| 1568080042 | Cyd Davis-hubler LLC | Counselor | 9301 Indian School Rd Ne Ste 200f, Albuquerque, NM 87112-2884 | 2020-07-10 |
| 1568089225 | Wild Rose Healing LLC | Counselor | 4012 Comanche Rd Ne, Albuquerque, NM 87110-1081 | 2020-06-29 |
| 1285267807 | Rickey Martin Apodaca | Counselor | 1 University of New Mexico # 63870, Albuquerque, NM 87131-0001 | 2020-02-21 |
| 1063045250 | You Matter Counseling Services, LLC | Counselor | 9768 Summer Shower Pl Nw, Albuquerque, NM 87120-4195 | 2020-02-17 |
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1639713316 | Mary Lynn Griffin | Counselor | 6401 Bosque Meadows Pl Nw, Albuquerque, NM 87120-8802 | 2019-11-05 |
| 1710534375 | Tender Presence Counseling LLC | Counselor | 2929 Coors Blvd Nw Ste 307c, Albuquerque, NM 87120-1173 | 2019-08-19 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on MR. CARL DALLAS BROACH.
| 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.