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Abq Wellness PC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Albuquerque, NM. Organization (NPI-2).

NPI number1710876719
StatusActive
Last updated in NPPESSep 24, 2026

Details

NPI
1710876719
Entity type
Organization (NPI-2)
Legal business name
Abq Wellness PC
Organization subpart
No
Enumeration date
Jul 2, 2025
Certification date
Sep 24, 2026
Last updated
Sep 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
1041C0700X Social Worker, Clinical––
251S00000X Community/Behavioral Health––
363LF0000X Nurse Practitioner, Family––

Practice location

2900 Louisiana Blvd Ne Ste A2
Albuquerque, NM 87110-3550

Phone 505-999-0470

Mailing address

2900 Louisiana Blvd Ne Ste A2
Albuquerque, NM 87110-3550

Phone 505-999-0470

Authorized official

Nicole Mestas
Partner
5059990470

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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