Provider Demographics
NPI:1285800185
Name:COUNSELING WORLD, LLC
Entity type:Organization
Organization Name:COUNSELING WORLD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGUIAR
Authorized Official - Suffix:III
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-480-3577
Mailing Address - Street 1:2601 WYOMING BLVD NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1035
Mailing Address - Country:US
Mailing Address - Phone:505-404-0717
Mailing Address - Fax:505-999-1172
Practice Address - Street 1:2601 WYOMING BLVD NE
Practice Address - Street 2:SUITE 101
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1035
Practice Address - Country:US
Practice Address - Phone:505-404-0717
Practice Address - Fax:505-999-1172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0091301101YP2500X
NMI-33871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty