Healthcare Provider Details

I. General information

NPI: 1245994797
Provider Name (Legal Business Name): DUKE CITY MIND INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 OSUNA RD NE
ALBUQUERQUE NM
87109-2527
US

IV. Provider business mailing address

PO BOX 46581
RIO RANCHO NM
87174-6581
US

V. Phone/Fax

Practice location:
  • Phone: 505-377-5435
  • Fax: 505-672-7769
Mailing address:
  • Phone: 505-226-1960
  • Fax: 505-672-7769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH HADSELL
Title or Position: OWNER
Credential: LCSW
Phone: 505-377-5435