# MINDFUL MEANDER PSYCHOTHERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669261269
- **Authorized official:** KATIE KUSSARD (OWNER)
- **Authorized official phone:** (952) 228-0047

## Contact information

- **Practice address:** 120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
- **Practice address phone:** (952) 228-0047
- **Mailing address:** 11820 HOLIDAY AVE NE, ALBUQUERQUE, NM 87111-5234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 05/15/2025