<Unavail>

LBN: Copper Key Psychology, Llc
<Unavail> is an health care organization with primary practice located at 5920 Canyon Vista Dr Ne , Albuquerque NM 87111-6621. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Copper Key Psychology, Llc can be contacted via phone (505) 933-1807, or through Moretti, Sally Eden via phone (505) 933-1807.

Contact Information

Primary practice address
5920 Canyon Vista Dr Ne Albuquerque NM 87111-6621
Phone: (505) 933-1807
Fax: (505) 856-1614
Website:
Map and Directions
Authorized official contact:
Name: Moretti, Sally Eden PSY.D.
Phone: (505) 933-1807

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1395 New Mexico

Profile Details

NPI number 1053835710
LBN Legal business name Copper Key Psychology, Llc
DBA Doing business as <Unavail>
Authorized official Moretti, Sally Eden PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2017
Last updated Sep 30th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053835710 NPPES
Other 1982076402 NPI TYPE 1 - INDIVIDUAL
MEDICAID 12226203 NPI TYPE 1 - INDIVIDUAL

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