| Mind Heart Health Llc | |
|
4920 Idlewilde Ln Se Albuquerque NM 87108-3519 | |
| (505) 480-9776 | |
| Not Available |
| Full Name | Mind Heart Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 4920 Idlewilde Ln Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Fernando Ortiz (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5757078150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Heart Health Llc 4920 Idlewilde Ln Se Albuquerque NM 87108-3519 Ph: (505) 480-9776 | Mind Heart Health Llc 4920 Idlewilde Ln Se Albuquerque NM 87108-3519 Ph: (505) 480-9776 |
| NPI Number | 1376148650 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376148650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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