Kintsugi Behavioral Health LLC
NPI #1568259091 in Corrales, New Mexico
Provider Information
- NPI Number
- 1568259091
- Entity Type
- Organization
- Organization Name
- Kintsugi Behavioral Health LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Jan 28, 2026
Practice Location
- Address
- 948 CAMINO DE LA TIERRA
- City
- Corrales
- State
- New Mexico
- ZIP Code
- 87048-6909
- Phone
- (505) 352-4674
Authorized Official
- Name
- VYVIAN PHAN, LCSW
- Title
- CO-OWNER
- Phone
- (505) 702-9080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Community/Behavioral Health |
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