Organization
AUTHENTIC MINDS THERAPY
Active
Organization
AUTHENTIC MINDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA K NELUMS LCSW (CLINICAL DIRECTOR)
(505) 633-6803
Entity
Organization
Contact information
Practice address
13101 LOMAS BLVD NE, ALBUQUERQUE, NM 87123-1492
(505) 633-6803
Mailing address
PO BOX 50022, ALBUQUERQUE, NM 87181-0022
(505) 633-6803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/24/2024
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