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

Mandala Integrated Therapy LLC

Organization Clinical Social Worker · NPI 1225763568

Mandala Integrated Therapy LLC is a Clinical Social Worker in Albuquerque, New Mexico. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

5201 Venice Ave NE Ste A
Albuquerque, NM 87113-2337
Phone: (505) 796-6367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5200 Pasadena Ave Ne Unit E, Albuquerque, NM 87113-2208 — (505) 796-6367

Specialties & licences

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

Record details

NPI number1225763568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Brock — Clinical Director · (817) 729-9099
NPI enumeratedJuly 20, 2022
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address5201 Venice Ave Ne Ste A, Albuquerque, NM 87113-2337

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