Organization
SANDIA SOL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BAKER LCSW, MBA (OWNER)
(505) 604-9578
Entity
Organization
Contact information
Practice address
4004 CARLISLE BLVD NE STE C3, ALBUQUERQUE, NM 87107-4565
(505) 226-3042
(505) 441-2845
Mailing address
PO BOX 91987, ALBUQUERQUE, NM 87199-1987
(505) 226-3042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36854719
—
NM
Enumeration date
05/27/2022
Last updated
02/26/2025
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