Enchanted Healing Of New Mexico, Llc
LBN: Enchanted Healing Of New Mexico, Llc
Enchanted Healing Of New Mexico, Llc is an health care organization with primary practice located at 122 Bryn Mawr Dr Se , Albuquerque NM 87106-2210. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Enchanted Healing Of New Mexico, Llc can be contacted via phone (505) 362-5847, or through Lihon, Delasaria via phone (505) 362-5847.
Contact Information
Primary practice address
122 Bryn Mawr Dr Se
Albuquerque NM 87106-2210
Phone: (505) 362-5847
Fax: (201) 530-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | I-06142 | New Mexico |
| Agencies / Community/Behavioral Health | 251S00000X | I-06142 | New Mexico |
Profile Details
| NPI number | 1144519182 |
|---|---|
| LBN Legal business name | Enchanted Healing Of New Mexico, Llc |
| DBA Doing business as | |
| Authorized official | Lihon, Delasaria L.I.S.W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2011 |
| Last updated | Mar 31st, 2011 - about 15 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 | 1144519182 | NPPES |
| New Mexico | MEDICAID | 55088279 |
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