Desert Bloom Telepsych Services Llc
LBN: Desert Bloom Telepsych Services Llc
Desert Bloom Telepsych Services Llc is an health care organization with primary practice located at 8605 Vineyard Ridge Rd Ne , Albuquerque NM 87122-2623. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty.
Desert Bloom Telepsych Services Llc can be contacted via phone (505) 620-6389, or through Stanger, Debra Marie via phone (505) 856-2262.
Contact Information
Primary practice address
8605 Vineyard Ridge Rd Ne
Albuquerque NM 87122-2623
Phone: (505) 620-6389
Fax:
Website:
Authorized official contact:
Name: Stanger, Debra Marie Certified Nurse Practitioner (CNP)
Phone: (505) 856-2262
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CNP-01597 | New Mexico |
Profile Details
| NPI number | 1336503176 |
|---|---|
| LBN Legal business name | Desert Bloom Telepsych Services Llc |
| DBA Doing business as | |
| Authorized official | Stanger, Debra Marie Certified Nurse Practitioner (CNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 7th, 2016 |
| Last updated | Apr 7th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336503176 | NPPES |
| New Mexico | MEDICAID | 78935784 |
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