OrganizationActive
101 Therapy LLC
NPI 1205404159 · Clinical Psychologist · Albuquerque, NM
Provider details
- NPI number
- 1205404159
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Gabriel Garcia, Owner
Practice location
508 3rd St Sw
Albuquerque, NM 87102-3836
Phone: (505) 257-6868
Fax: (505) 521-5161
Mailing address
508 3rd St Sw
Albuquerque, NM 87102-3836
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.