Kim Cantrell, Llc

LBN: Kim Cantrell, Llc
Kim Cantrell, Llc is an health care organization with primary practice located at 2006 Southern Blvd Se Ste 203C , Rio Rancho NM 87124-3758. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kim Cantrell, Llc can be contacted via phone (505) 362-3515, or through Cantrell, Kim via phone (505) 362-3515.

Contact Information

Primary practice address
2006 Southern Blvd Se Ste 203C Rio Rancho NM 87124-3758
Phone: (505) 362-3515
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cantrell, Kim LISW
Phone: (505) 362-3515

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-06910 New Mexico

Profile Details

NPI number 1700126794
LBN Legal business name Kim Cantrell, Llc
DBA Doing business as
Authorized official Cantrell, Kim LISW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2013
Last updated Feb 27th, 2013 - about 13 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 1700126794 NPPES
New Mexico MEDICAID 99976307

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