Organization
KIND MIND PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY KIM LCSW, ATR (LICENSED CLINICAL SOCIAL WORKER)
(808) 557-4300
Entity
Organization
Contact information
Practice address
65 PRIVATE DRIVE 1130, ESPANOLA, NM 87532
(808) 557-4300
Mailing address
65 PRIVATE DRIVE 1130, ESPANOLA, NM 87532
(808) 557-4300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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