Black, Vicki Heinz
Black, Vicki Heinz is an sole proprietor health care provider with primary practice located at 4253 Montgomery Blvd Ne Suite 220, Albuquerque NM 87109. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Black, Vicki Heinz can be contacted via phone (505) 342-0400.Contact Information
Primary practice address
4253 Montgomery Blvd Ne Suite 220
Albuquerque NM 87109
Phone: (505) 342-0400
Fax: (505) 342-0500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0177421 | New Mexico |
Profile Details
| NPI number | 1427162460 |
|---|---|
| LBN Legal business name | Black, Vicki Heinz |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427162460 | NPPES |
| New Mexico | MEDICAID | 13601377 |
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