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General NPI Number Information
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NPI Number | 1619861168
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Entity Type | Organization
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Legal Business Name | ANEW MIND BEHAVIORAL COUNSELING LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2201 SAN PEDRO DR NE STE 1200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4133
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Country | US
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Telephone | 803-676-4669
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 SAN PEDRO DR NE STE 1200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4133
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CIARA WRIGHT
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Credential |
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Telephone | 803-676-4669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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