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Organization

VITALITY MIND HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIFFANY DENISE TRUJILLO MA, LPCC, NCC (LPCC/OWNER)
(505) 800-8033
Entity
Organization

Contact information

Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(505) 933-5121
Mailing address
6300 CALLE AMORADA CT NW, ALBUQUERQUE, NM 87114-5354
(505) 933-5121

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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