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NPI Code Detail

MEDICARE: MINDSET MENTAL HEALTH

MEDICARE: MINDSET MENTAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1114618634
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDSET MENTAL HEALTH
Provider Business Mailing Address
First Line : 6508 EVESHAM RD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-6212
Country : US
Telephone Number : 505-908-4011
Fax Number :
Provider Business Practice Location Address
First Line : 2601 WYOMING BLVD NE STE 218
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-1033
Country : US
Telephone Number : 505-750-1561
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANGELA A GODINEZ
Credential : LPCC
Telephone Number : 505-750-1561
Provider Enumeration Date : 05/16/2023
Last Update Date : 07/30/2024

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Directions to “MINDSET MENTAL HEALTH ” Practice Location

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