Mountain Pass Counseling, Llc

LBN: Mountain Pass Counseling, Llc
Mountain Pass Counseling, Llc is an health care organization with primary practice located at 11930 Menaul Blvd Ne Ste 114-A, Albuquerque NM 87112-2478. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Mountain Pass Counseling, Llc can be contacted via phone (262) 617-6446, or through Bast, Diane Marie via phone (262) 617-6446.

Contact Information

Primary practice address
11930 Menaul Blvd Ne Ste 114-A Albuquerque NM 87112-2478
Phone: (262) 617-6446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bast, Diane Marie MS
Phone: (262) 617-6446

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0174601 New Mexico

Profile Details

NPI number 1972977015
LBN Legal business name Mountain Pass Counseling, Llc
DBA Doing business as
Authorized official Bast, Diane Marie MS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2015
Last updated Nov 29th, 2015 - about 11 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 1972977015 NPPES
Wisconsin MEDICAID 43711500

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