Elemental Health And Wellness Center Llc

LBN: Elemental Health And Wellness Center Llc
Elemental Health And Wellness Center Llc is an health care organization with primary practice located at 4425 Juan Tabo Blvd Ne Ste 112 , Albuquerque NM 87111-2684. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Elemental Health And Wellness Center Llc can be contacted via phone (505) 503-6800, or through Cannon, Anne via phone (505) 503-6800.

Contact Information

Primary practice address
4425 Juan Tabo Blvd Ne Ste 112 Albuquerque NM 87111-2684
Phone: (505) 503-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Anne
Phone: (505) 503-6800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0112181 New Mexico
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0084711 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-02033 New Mexico

Profile Details

NPI number 1891125183
LBN Legal business name Elemental Health And Wellness Center Llc
DBA Doing business as
Authorized official Cannon, Anne
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2013
Last updated Oct 13th, 2023 - about 3 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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