Organization
MINDSET THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA DIAZ LCSW (OWNER)
(505) 239-7576
Entity
Organization
Contact information
Practice address
6431 DANTE LN NW, ALBUQUERQUE, NM 87114-5024
(505) 239-7576
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 226-1960
(505) 672-7769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
09/23/2021
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