Organization
STANDTALL HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA NAUMER-PERCIVAL LCSW (CEO)
(505) 414-9483
Entity
Organization
Contact information
Practice address
9301 INDIAN SCHOOL RD NE STE 107, ALBUQUERQUE, NM 87112-2864
(505) 358-5059
Mailing address
PO BOX 16627, ALBUQUERQUE, NM 87191-6627
(505) 358-5059
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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