Healthcare Provider Details

I. General information

NPI: 1891492542
Provider Name (Legal Business Name): SEEKING INNER PEACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 JOHN ST SE
ALBUQUERQUE NM
87102-4235
US

IV. Provider business mailing address

PO BOX 8362
ALBUQUERQUE NM
87198-8362
US

V. Phone/Fax

Practice location:
  • Phone: 505-307-5032
  • Fax:
Mailing address:
  • Phone: 505-307-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICKOLE GARCIA
Title or Position: OWNER
Credential:
Phone: 505-307-5032