| Sacred Space Healing | |
|
4010 Carlisle Blvd Ne Albuquerque NM 87107-4532 | |
| (505) 414-0423 | |
| Not Available |
| Full Name | Sacred Space Healing |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4010 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Alexandria Nicole Rubio (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5054140423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space Healing 4010 Carlisle Blvd Ne Ste F Albuquerque NM 87107-4532 Ph: (505) 414-0423 | Sacred Space Healing 4010 Carlisle Blvd Ne Albuquerque NM 87107-4532 Ph: (505) 414-0423 |
| NPI Number | 1053125146 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053125146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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