Coral Vitality Llc

LBN: Coral Vitality Llc
Coral Vitality Llc is an health care organization with primary practice located at 121 Wyatt Dr Ste 18 , Las Cruces NM 88005-2961. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Coral Vitality Llc can be contacted via phone (575) 570-3671, or through Mangual, Stephanie via phone (915) 221-5595.

Contact Information

Primary practice address
121 Wyatt Dr Ste 18 Las Cruces NM 88005-2961
Phone: (575) 570-3671
Fax: (575) 232-0631
Website:
Map and Directions
Authorized official contact:
Name: Mangual, Stephanie
Phone: (915) 221-5595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1427834431
LBN Legal business name Coral Vitality Llc
DBA Doing business as
Authorized official Mangual, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2023
Last updated Aug 14th, 2026 - about 3 months 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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