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General NPI Number Information
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NPI Number | 1073262861
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Entity Type | Organization
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Legal Business Name | HEALING MINDFULLY
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 4801 LANG AVE NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4475
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Country | US
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Telephone | 505-526-7271
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 LANG AVE NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4475
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Country | US
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Telephone | 505-932-6264
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. ERIKA SENA
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Credential | LMFT, LADAC
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Telephone | 575-781-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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