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NPI 1710876719 · live from the CMS NPI Registry

Abq Wellness PC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Albuquerque, NM. National Provider Identifier 1710876719, active.

NPI record

NPI1710876719 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X
Practice location2900 Louisiana Blvd Ne Ste A2, Albuquerque, NM 87110
Practice phone505-999-0470
EnumeratedJuly 2, 2025
Last updatedSeptember 24, 2026
Authorized officialNicole Mestas, Partner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X—
Community/Behavioral Health251S00000X—
Clinic/Center, Mental Health (Including Community Mental Health Center) primary261QM0801X—
Nurse Practitioner, Family363LF0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.