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

Kintsugi Behavioral Health LLC

Organization Clinical Social Worker · NPI 1568259091

Kintsugi Behavioral Health LLC is a Clinical Social Worker in Corrales, New Mexico. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

948 Camino De La Tierra
Corrales, NM 87048-6909
Phone: (505) 352-4674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1568259091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vyvian Phan — Co-Owner · (505) 702-9080
NPI enumeratedApril 21, 2025
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address948 Camino De La Tierra, Corrales, NM 87048-6909

Other providers in Corrales