Organization
MINDFUL PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ENSIGN APN (PSYCHIATRIC NURSE PRACTITIONER)
(505) 577-2577
Entity
Organization
Contact information
Practice address
135 MADISON ST NE, ALBUQUERQUE, NM 87108-1238
(505) 577-2577
Mailing address
324 ALISO DR NE, ALBUQUERQUE, NM 87108-1005
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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