| Thriving Mind Llc | |
|
4612 Huyana Dr Nw Albuquerque NM 87120-5597 | |
| (505) 358-8910 | |
| Not Available |
| Full Name | Thriving Mind Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4612 Huyana Dr Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jacqueline L Castille (CLINICAL COUNSELOR) |
| Authorized Official Contact | 5053588910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Mind Llc 4612 Huyana Dr Nw Albuquerque NM 87120-5597 Ph: () - | Thriving Mind Llc 4612 Huyana Dr Nw Albuquerque NM 87120-5597 Ph: (505) 358-8910 |
| NPI Number | 1689271413 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689271413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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