Gina Simon Lisw, Pc

LBN: Gina Simon Lisw, Pc
Gina Simon Lisw, Pc is an health care organization with primary practice located at 2729 Mesilla St Ne , Albuquerque NM 87110-3539. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Gina Simon Lisw, Pc can be contacted via phone (505) 249-8764, or through Simon, Gina via phone (505) 249-8764.

Contact Information

Primary practice address
2729 Mesilla St Ne Albuquerque NM 87110-3539
Phone: (505) 249-8764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simon, Gina LISW
Phone: (505) 249-8764

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-3207 New Mexico

Profile Details

NPI number 1689860462
LBN Legal business name Gina Simon Lisw, Pc
DBA Doing business as
Authorized official Simon, Gina LISW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2007
Last updated Apr 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689860462 NPPES
North Carolina MEDICAID D4495

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