| Movement Psychotherapy Services Llc | |
|
4110 Wolcott Ave Ne Ste B Albuquerque NM 87109-4598 | |
| (505) 433-7466 | |
| Not Available |
| Full Name | Movement Psychotherapy Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4110 Wolcott Ave Ne Ste B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Vyvian Phan (CEO) |
| Authorized Official Contact | 5057029080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Movement Psychotherapy Services Llc 1855 Smarty Jones St Se Albuquerque NM 87123-2398 Ph: (505) 702-9080 | Movement Psychotherapy Services Llc 4110 Wolcott Ave Ne Ste B Albuquerque NM 87109-4598 Ph: (505) 433-7466 |
| NPI Number | 1942080114 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942080114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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