Organization
FAITH MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BAYLES (CREDENTIALING ADMIN)
(478) 290-3122
Entity
Organization
Contact information
Practice address
8206 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-1738
(806) 535-3104
Mailing address
204 144TH LN NW, ANDOVER, MN 55304-6277
(806) 535-3104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
04/28/2023
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