Radiant Souls Psychiatry PLLC
Radiant Souls Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1438 Girard Blvd NEAlbuquerque, NM 87106-1821
Phone: (505) 308-8125
Fax: (505) 219-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1104772698 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sabina Onwonga — Ceo · (505) 308-8125 |
| NPI enumerated | March 6, 2026 |
| Last updated in NPPES | March 6, 2026 |
| Certification date | March 6, 2026 |
| Mailing address | 1438 Girard Blvd Ne, Albuquerque, NM 87106-1821 |
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Dr. Desiree Renee Provencio, DNP, CNP, PMHNP-BC
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Dominique Pummill, PMHNP
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Radiant Minds Psychiatry LLC
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Olivia Randall, NP-PMHNP
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Mrs. Monique Anne Reeves, PMHNP
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Melissa Carmen Rodriguez, APRN-CNP
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