| Mind Body Soul Aligned Llc | |
|
127 Eastgate Dr Ste B201 Los Alamos NM 87544-3300 | |
| (505) 381-5301 | |
| Not Available |
| Full Name | Mind Body Soul Aligned Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 127 Eastgate Dr Ste B201, Los Alamos, New Mexico |
| Authorized Official Name and Position | Chelsie Marie Miller (OWNER) |
| Authorized Official Contact | 5053815301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Soul Aligned Llc 300 Joya Loop White Rock NM 87547-3707 Ph: (605) 360-8918 | Mind Body Soul Aligned Llc 127 Eastgate Dr Ste B201 Los Alamos NM 87544-3300 Ph: (505) 381-5301 |
| NPI Number | 1871302836 |
|---|---|
| Provider Enumeration Date | 01/04/2025 |
| Last Update Date | 01/04/2025 |
| Certification Date | 01/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871302836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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