| Mending Hearts, Llc | |
|
3939 San Pedro Dr Ne Bldg B1 Albuquerque NM 87110-8903 | |
| (505) 440-7600 | |
| (505) 344-2104 |
| Full Name | Mending Hearts, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3939 San Pedro Dr Ne Bldg B1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Nikka Peralta (OWNER) |
| Authorized Official Contact | 5059035437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Hearts, Llc 1305 San Lorenzo Ave Nw Albuquerque NM 87107-3427 Ph: (505) 903-5437 | Mending Hearts, Llc 3939 San Pedro Dr Ne Bldg B1 Albuquerque NM 87110-8903 Ph: (505) 440-7600 |
| NPI Number | 1487100392 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487100392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-09284 (New Mexico) | Primary |
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