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Organization

STATE OF THE ART HEALING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA KRISTIN GOLDING (CO-OWNER, CHIEF OPERATING OFFICER)
(505) 274-3556
Entity
Organization

Contact information

Practice address
5511 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-1890
(505) 274-3556
Mailing address
PO BOX 7146, ALBUQUERQUE, NM 87194-7146
(505) 274-3556

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
207RA0401X
Addiction Medicine (Internal Medicine) Physician
208D00000X
General Practice Physician
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center
261QM2800X
Methadone Clinic
291U00000X
Clinical Medical Laboratory
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
08/13/2024
Last updated
08/19/2026
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