Organization
A VIBRANT MIND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HARTSON LPCC (OWNER/DIRECTOR)
(505) 397-4189
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD NE STE 200D, ALBUQUERQUE, NM 87110-3589
(505) 397-4189
Mailing address
2900 LOUISIANA BLVD NE STE 200D, ALBUQUERQUE, NM 87110-3589
(505) 397-4189
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
06/13/2022
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