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Active Integration Therapy, Llc

Counselor - Mental Health

MICHELLE WILDE
NPI: 1063045029Los Alamos, New Mexico, 87544(505) 695-2095
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About Active Integration Therapy, Llc

Active Integration Therapy, Llc is a healthcare organization providing Counselor - Mental Health services, with specialized expertise in Mental Health, registered under National Provider Identifier (NPI) number 1063045029.

The authorized official for Active Integration Therapy, Llc is MICHELLE WILDE. The organization is headquartered at 3250 TRINITY DR STE B1, Los Alamos, New Mexico 87544. The main office can be reached at (505) 695-2095.

Active Integration Therapy, Llc has been NPI-registered since 2020.

Locations & Contact

Primary Location

Address
3250 TRINITY DR STE B1
City
Los Alamos
State
New Mexico
ZIP
87544-2226
Phone
(505) 695-2095
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Authorized Official

Name
MICHELLE WILDE

Mailing Address

Address
3250 TRINITY DR STE B1
City
LOS ALAMOS
State
NM
ZIP
875442226

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Active Integration Therapy, Llc's NPI number?
Active Integration Therapy, Llc's National Provider Identifier (NPI) is 1063045029. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Active Integration Therapy, Llc specialize in?
Active Integration Therapy, Llc specializes in Counselor - Mental Health.
Where is Active Integration Therapy, Llc located?
Active Integration Therapy, Llc practices at 3250 TRINITY DR STE B1, Los Alamos, New Mexico 87544. You can reach them by phone at (505) 695-2095.
Does Active Integration Therapy, Llc accept Medicare?
Based on available data, Active Integration Therapy, Llc is not currently enrolled in the Medicare program.
Does Active Integration Therapy, Llc offer telehealth or virtual visits?
Active Integration Therapy, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Active Integration Therapy, Llc holds NPI 1063045029, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.