Organization
EMBODIED HEART SPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE IEMOLO PSYD, R-DMT, BCBA (OWNER/PSYCHOLOGIST)
(505) 420-1814
Entity
Organization
Contact information
Practice address
3415 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1648
(505) 420-1814
(505) 212-4412
Mailing address
4228 SADDLEBACK RD NW, ALBUQUERQUE, NM 87114-5665
(505) 420-1814
(505) 212-4412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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