Healthcare Provider Details
I. General information
NPI: 1821926296
Provider Name (Legal Business Name): POMEGRANATE HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1204 COAL AVE SE
ALBUQUERQUE NM
87106-5210
US
IV. Provider business mailing address
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7825
US
V. Phone/Fax
- Phone: 773-809-3493
- 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:
FINLAY
SARAFA MCHALE
Title or Position: FOUNDER
Credential: LCSW
Phone: 847-714-3730