The Healing Place Mental Health Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE HEALING PLACE MENTAL HEALTH SERVICES, LLC

Practice address

4004 Carlisle Blvd NE Ste G
Albuquerque, NM 87107-4566

Phone

(505) 588-8207

NPI assigned

Oct 26, 2017

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristin Lichtle, LPCCNPI 1043640493

Title

Owner

Phone

(505) 588-8207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Lichtle, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1043640493
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1487166880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MONTGOMERY BLVD NE APT 121",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091007",
            "telephone_number": "505-588-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 CARLISLE BLVD NE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074566",
            "telephone_number": "505-588-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PLACE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "LICHTLE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-588-8207",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Gardener Spiritual Counseling
• The Growth Place, LLC
• The Healer Within Holistic Counseling
• The Healing Centered Collaborative LLC
• The Healing Initiative, Inc.
• The Health Doc, LLC
• The Honorary Bee
• The Hope Holders Counseling Services
• The Houtman Group LLC (Desert Monarch Behavioral Health)
• The Human Body Shop

• Mental Health Clinic/Center (Including Community Mental Health Center) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.