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Mandala Integrated Therapy LLC

Community/Behavioral Health Agency in Albuquerque, NM · enumerated 2022 · authorized official Kathryn Brock, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225763568

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Registry record

Entity type Organization (Type 2)
Legal business name Mandala Integrated Therapy LLC
Practice address 5201 Venice Ave Ne Ste A, Albuquerque, NM, 87113
Enumeration date Jul 20, 2022
Last updated in NPPES Jul 8, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Kathryn Brock
Title Clinical Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mandala Integrated Therapy LLC?
Mandala Integrated Therapy LLC is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-08.