ACTIVE INTEGRATION THERAPY, LLC is a mental health counselor in Los Alamos, NM. ACTIVE INTEGRATION THERAPY, LLC NPI is 1063045029. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3250 TRINITY DR STE B1 LOS ALAMOS, NM ZIP 87544-226 Phone: (505) 695-2095
The provider's authorized official is Michelle Wilde . The authorized official title is Member and has the following contact phone number (505) 412-8360.
The enumeration date for this NPI number is 2/18/2020 and was last updated on 2/18/2020.
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:
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: 11/21/2025
NPI Synchronization or Removal
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