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

Sovereign Self, LLC

Organization Mental Health Counselor · NPI 1366237901

Sovereign Self, LLC is a Mental Health Counselor in Albuquerque, New Mexico. Registered with an NPI since 2025.

In the registry since
2025
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

3620 Wyoming Blvd NE Ste 218
Albuquerque, NM 87111-3289
Phone: (720) 446-6563
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1366237901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Wilson — Owner · (308) 778-7020
Other names Sovereign Self Mental Health; Sovereign Self Mental Health And Self Care Lounge
NPI enumeratedApril 14, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address3620 Wyoming Blvd Ne Ste 218, Albuquerque, NM 87111-3289

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