Organization
OPEN HEARTS, OPEN MINDS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA FORDE MA, LPCC (OWNER)
(505) 401-1802
Entity
Organization
Contact information
Practice address
1420 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5660
(505) 401-1802
Mailing address
PO BOX 53002, ALBUQUERQUE, NM 87153-3002
(505) 401-1802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0144971
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58821350
—
NM
Enumeration date
06/13/2018
Last updated
09/22/2019
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