Provider Demographics
NPI:1073262861
Name:HEALING MINDFULLY
Entity Type:Organization
Organization Name:HEALING MINDFULLY
Other - Org Name:ERIKA SENA
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LADAC
Authorized Official - Phone:575-781-0200
Mailing Address - Street 1:1063 EDDY AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:NM
Mailing Address - Zip Code:88435-2029
Mailing Address - Country:US
Mailing Address - Phone:575-781-0200
Mailing Address - Fax:
Practice Address - Street 1:1063 EDDY AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:NM
Practice Address - Zip Code:88435-2029
Practice Address - Country:US
Practice Address - Phone:505-932-6264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty