| Sprouting Minds Art Therapy Llc | |
|
1b Backroad Madrid NM 87010-9727 | |
| (515) 996-0278 | |
| Not Available |
| Full Name | Sprouting Minds Art Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1b Backroad, Madrid, New Mexico |
| Authorized Official Name and Position | Mandy Kay Sproul (OWNER/ ART THERAPIST) |
| Authorized Official Contact | 5159960278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprouting Minds Art Therapy Llc 1 Backroad Madrid NM 87010-9727 Ph: (515) 996-0278 | Sprouting Minds Art Therapy Llc 1b Backroad Madrid NM 87010-9727 Ph: (515) 996-0278 |
| NPI Number | 1073366431 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073366431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |