Organization
MOVEMENT PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYVIAN PHAN LCSW (CEO)
(505) 702-9080
Entity
Organization
Contact information
Practice address
9201 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87111-2468
(505) 702-9080
Mailing address
1855 SMARTY JONES ST SE, ALBUQUERQUE, NM 87123-2398
(505) 702-9080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
06/20/2026
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