Organization
SOULFUL AWAKENING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SANCHEZ LPCC (OWNER)
(808) 277-2660
Entity
Organization
Contact information
Practice address
5737 QUAY DR NE, RIO RANCHO, NM 87144-5173
(808) 277-2660
Mailing address
5737 QUAY DR NE, RIO RANCHO, NM 87144-5173
(808) 277-2660
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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