Mandala Integrated Therapy

LBN: Mandala Integrated Therapy
Mandala Integrated Therapy is an health care organization with primary practice located at 5201 Venice Ave Ne Ste A , Albuquerque NM 87113-2337. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Mandala Integrated Therapy can be contacted via phone (505) 796-6367, or through Brock, Kathryn M via phone (817) 729-9099.

Contact Information

Primary practice address
5201 Venice Ave Ne Ste A Albuquerque NM 87113-2337
Phone: (505) 796-6367
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brock, Kathryn M
Phone: (817) 729-9099

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1225763568
LBN Legal business name Mandala Integrated Therapy
DBA Doing business as
Authorized official Brock, Kathryn M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2022
Last updated Mar 14th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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