Embodied Heart Space, LLC
Organization Active NPI Psychologist · Albuquerque, NM
NPI 1336088806 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1336088806
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- EMBODIED HEART SPACE, LLC
- Practice address
- 3415 Carlisle Blvd NE
Albuquerque, NM 87110-1648 - Phone
- (505) 420-1814
- Fax
- (505) 212-4412
- NPI assigned
- Mar 27, 2026
- Organization subpart
- No
Authorized official
- Name
- Dr. Michele Iemolo, PSYD, R-DMT, BCBA
- Title
- Owner/Psychologist
- Phone
- (505) 420-1814
Practitioners 1
-
Michele Iemolo, PSY.D., BCBA, R-DMT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
3415 Carlisle Blvd NE
Albuquerque, NM 87110-1648
Mailing address
4228 Saddleback Rd NW
Albuquerque, NM 87114-5665
Phone (505) 420-1814
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All providers in Albuquerque, NM · Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.