| Organization Name: | HBJ THERAPY SERVICES, LLC |
| NPI Number: | 1073661336 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON L. ENTERMAN (OWNER-BUSINESS MANAGER) |
| Mailing Address: | 3105 Pueblo Hawikuh Santa Fe |
| State: | NM US |
| Postal Code: | 875072514 |
| Phone Number: | 5056907207 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | T0074771 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |