Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Integration Therapy, LLC

Organization Mental Health Counselor · NPI 1063045029

Active Integration Therapy, LLC is a Mental Health Counselor in Los Alamos, New Mexico. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3250 Trinity Dr Ste B1
Los Alamos, NM 87544-2226
Phone: (505) 695-2095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063045029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Wilde — Member · (505) 412-8360
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address3250 Trinity Dr Ste B1, Los Alamos, NM 87544-2226

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