Organization
WISE MIND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA RUE (CO-OWNER)
(505) 317-3792
Entity
Organization
Contact information
Practice address
2424 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-1818
(505) 317-3792
(505) 792-6611
Mailing address
PO BOX 1568, RIO RANCHO, NM 87174
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92756069
—
NM
Enumeration date
07/29/2019
Last updated
02/07/2020
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