| Creative Healing Studio Llc | |
|
4004 Carlisle Blvd Ne Ste P Albuquerque NM 87107-4544 | |
| (802) 734-0538 | |
| Not Available |
| Full Name | Creative Healing Studio Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4004 Carlisle Blvd Ne Ste P, Albuquerque, New Mexico |
| Authorized Official Name and Position | Hope Cecelia Fowler (OWNER) |
| Authorized Official Contact | 8027340538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Healing Studio Llc 4004 Carlisle Blvd Ne Ste P Albuquerque NM 87107-4544 Ph: (802) 734-0538 | Creative Healing Studio Llc 4004 Carlisle Blvd Ne Ste P Albuquerque NM 87107-4544 Ph: (802) 734-0538 |
| NPI Number | 1134884125 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134884125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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