Provider Demographics
NPI:1063754059
Name:GOLEMBESKI, ANNE (LPCC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:GOLEMBESKI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 MOUNTAIN RD NE
Mailing Address - Street 2:STE 200
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7818
Mailing Address - Country:US
Mailing Address - Phone:505-830-6500
Mailing Address - Fax:
Practice Address - Street 1:8100 MOUNTAIN RD NE
Practice Address - Street 2:STE 200
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7818
Practice Address - Country:US
Practice Address - Phone:505-830-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2015-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0171051101YP2500X, 101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)