Healthcare Provider Details
I. General information
NPI: 1285576876
Provider Name (Legal Business Name): MONSOON MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7825
US
IV. Provider business mailing address
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7825
US
V. Phone/Fax
- Phone: 505-234-6177
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
GUARDADO
Title or Position: CEO
Credential:
Phone: 505-234-6177