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Organization

OUROAXIS THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISAAC PENNER MA, LPCC (OWNER)
(505) 379-4035
Entity
Organization

Contact information

Practice address
6000 MANTANO PLAZA DR NW, APT 26D, ALBUQUERQUE, NM 87120
(505) 379-4035
Mailing address
6000 MANTANO PLAZA DR NW, APT 26D, ALBUQUERQUE, NM 87120
(505) 379-4035

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/13/2026
Last updated
03/13/2026
About Stedi
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  • Eligibility checks
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