Provider Demographics
NPI:1033445531
Name:LISTENING SAGE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:LISTENING SAGE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTORAL COUNSELOR, PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:K
Authorized Official - Last Name:STUCKY-ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:D MIN
Authorized Official - Phone:505-820-2433
Mailing Address - Street 1:PO BOX 31254
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87594-1254
Mailing Address - Country:US
Mailing Address - Phone:505-820-2433
Mailing Address - Fax:505-984-9974
Practice Address - Street 1:140 MESA VISTA ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-1732
Practice Address - Country:US
Practice Address - Phone:505-820-2433
Practice Address - Fax:505-984-9974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
NM3020101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty