Kind Mind Psychotherapy LLC
Community/Behavioral Health in Espanola, NM. Organization (NPI-2).
NPI number1629956107
StatusActive
Last updated in NPPESAug 23, 2025
Details
- NPI
- 1629956107
- Entity type
- Organization (NPI-2)
- Legal business name
- Kind Mind Psychotherapy LLC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2025
- Certification date
- Aug 23, 2025
- Last updated
- Aug 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
65 Private Drive 1130Espanola, NM 87532
Phone 808-557-4300
Mailing address
65 Private Drive 1130Espanola, NM 87532
Phone 808-557-4300
Authorized official
Kacey Kim
Licensed Clinical Social Worker
8085574300
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