Organization
SACRED SPACE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA NICOLE RUBIO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(505) 414-0423
Entity
Organization
Contact information
Practice address
4010 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4532
(505) 414-0423
Mailing address
4010 CARLISLE BLVD NE STE F, ALBUQUERQUE, NM 87107-4532
(505) 414-0423
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/20/2025
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