Organization · Type 2 NPI

Mind Medicine Clinic LLC

Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM

NPI number 1194402503 Active

Practice location

1608 5th St NW
Albuquerque, NM 87102-1302

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Kyla Henderson, MSW, LCSWClinical Social Worker Albuquerque, NM NPI 1730961343
Rebeccah Susanne Lyles, PMH-DNPPsychiatric/Mental Health Nurse Practitioner Albuquerque, NM NPI 1659066512

Other psychiatric/mental health nurse practitioner providers in Albuquerque

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NPI record

NPI: 1194402503
Entity type: Organization (Type 2)
Issued: Jun 28, 2023
Last updated: Feb 16, 2024
Status: Active

Other names

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Mind Medicine Clinic · doing business as
Mind Medicine Clinic · doing business as

Authorized official

Dr. Rebeccah S Lyles, PMHNP-BC
Owner/provider
(312) 882-0432

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About NPI 1194402503

Mind Medicine Clinic LLC's National Provider Identifier is 1194402503, issued on Jun 28, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 16, 2024.