MIND HEART AND SOUL COUNSELING LLC NPI 1689214959

NPI Information

NPI: 1689214959
Provider Name: MIND HEART AND SOUL COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
315 ALAMEDA BLVD NE STE A
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 220-5809
Get Directions

MIND HEART AND SOUL COUNSELING LLC is a mental health counselor in Albuquerque, NM. MIND HEART AND SOUL COUNSELING LLC NPI is 1689214959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 ALAMEDA BLVD NE STE A
ALBUQUERQUE, NM
ZIP 87113-155
Phone: (505) 220-5809

The provider's authorized official is Tyra Jean Russell Fox .
The authorized official title is Clinical Mental Health Counselor and has the following contact phone number (505) 220-5809.

The enumeration date for this NPI number is 1/14/2020 and was last updated on 1/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	56552564	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »