Organization
MIND OVER MATTERS HOLISTIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LEE THOMAS LPCC (COUNSELOR/OWNER)
(505) 459-6980
Entity
Organization
Contact information
Practice address
2424 PALOMAS DR NE, ALBUQUERQUE, NM 87110-4036
(505) 459-6980
Mailing address
2424 PALOMAS DR NE, ALBUQUERQUE, NM 87110-4036
(505) 459-6980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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