Provider Demographics
NPI:1902241276
Name:COOPER, ANNE-MARIE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 GLENWOOD HILLS DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2950
Mailing Address - Country:US
Mailing Address - Phone:954-551-2656
Mailing Address - Fax:954-217-2246
Practice Address - Street 1:5005 GLENWOOD HILLS DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2950
Practice Address - Country:US
Practice Address - Phone:954-551-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2703106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist