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Organization
FAITH MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization
FAITH MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BAYLES (CREDENTIALING ADMIN)
(478) 290-3122
Entity
Organization
Contact information
Practice address
8206 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-1738
(806) 535-3104
Mailing address
204 144TH LN NW, ANDOVER, MN 55304-6277
(806) 535-3104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
04/28/2023
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