Life Re-Created LLC
NPI #1033770904 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1033770904
- Entity Type
- Organization
- Organization Name
- Life Re-Created LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 21, 2019
- Last Updated
- Jul 18, 2024
Practice Location
- Address
- 3939 SAN PEDRO DR. NE
- Address 2
- BLD C, STE 8
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87110
- Phone
- (505) 369-6756
Authorized Official
- Name
- CATHRYN ANA GLENDAY, MPH MA LPCC
- Title
- OWNER
- Phone
- (505) 369-6756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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