Organization
SPROUTING MINDS ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY KAY SPROUL LPCC, LPAT (OWNER/ ART THERAPIST)
(515) 996-0278
Entity
Organization
Contact information
Practice address
1B BACKROAD, MADRID, NM 87010-9727
(515) 996-0278
Mailing address
1 BACKROAD, MADRID, NM 87010-9727
(515) 996-0278
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/09/2024
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