Organization
SANDIA VISTA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORIAH CHARLENE MACCLEOD (OWNER)
(505) 364-4688
Entity
Organization
Contact information
Practice address
5 SOMBRA DEL MONTE RD, PLACITAS, NM 87043-8743
(505) 364-4688
Mailing address
145 CALLE DEL PRESIDENTE UNIT 1128, BERNALILLO, NM 87004-2046
(505) 364-4688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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