Healthcare Provider Details

I. General information

NPI: 1841006186
Provider Name (Legal Business Name): STARSEED NEUROAFFIRMING WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ALISO DR SE
ALBUQUERQUE NM
87108-2693
US

IV. Provider business mailing address

500 LOCUST ST # 1013
DES MOINES IA
50309-4104
US

V. Phone/Fax

Practice location:
  • Phone: 505-605-6455
  • Fax: 505-485-0639
Mailing address:
  • Phone: 505-605-6455
  • Fax: 505-485-0639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERI DIGIACINTO
Title or Position: OWNER/PROVIDER
Credential: PMHNP-BC
Phone: 832-738-9647