Healthcare Provider Details

I. General information

NPI: 1871374041
Provider Name (Legal Business Name): HEALTHY INCLINATIONS PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8509 VISTA CHAMISA LN SW
ALBUQUERQUE NM
87121-7611
US

IV. Provider business mailing address

8509 VISTA CHAMISA LN SW
ALBUQUERQUE NM
87121-7611
US

V. Phone/Fax

Practice location:
  • Phone: 505-362-2326
  • Fax:
Mailing address:
  • Phone: 505-362-2326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELANIE L BAKER
Title or Position: DIRECTOR
Credential: LCSW
Phone: 505-362-2326