Organization
PASSIONATE MINDS BEHAVIORAL HEALTH LLC
Active
Organization
PASSIONATE MINDS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW BRYAN LCSW (OWNER)
(915) 701-6864
Entity
Organization
Contact information
Practice address
185 OSPREY CT, SANTA TERESA, NM 88008-9502
(915) 701-6864
Mailing address
185 OSPREY CT, SANTA TERESA, NM 88008-9502
(915) 701-6864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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