Organization · NPI-2

A Vibrant Mind Counseling, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Albuquerque, NM

NPI number1508519430
StatusActive
Last updated in NPPESJun 13, 2022

Details

NPI
1508519430
Entity type
Organization (NPI-2)
Legal business name
A Vibrant Mind Counseling, LLC
Organization subpart
No
Enumeration date
Jan 31, 2022
Certification date
Jun 13, 2022
Last updated
Jun 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2900 Louisiana Blvd Ne Ste 200d
Albuquerque, NM 87110-3589

Phone 505-397-4189

Mailing address

2900 Louisiana Blvd Ne Ste 200d
Albuquerque, NM 87110-3589

Phone 505-397-4189

Authorized official

Nicole Hartson
Owner/Director
5053974189

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