Sandia Crest Mental Health Llc

LBN: Sandia Crest Mental Health Llc
Sandia Crest Mental Health Llc is an health care organization with primary practice located at 1701 Us Route 66 Suite D, Moriarty NM 87035. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Sandia Crest Mental Health Llc can be contacted via phone (505) 384-1034, or through Lobaugh, Edward Ray via phone (505) 463-2072.

Contact Information

Primary practice address
1701 Us Route 66 Suite D Moriarty NM 87035
Phone: (505) 384-1034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lobaugh, Edward Ray CNS, CNP
Phone: (505) 463-2072

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R45675 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X R45675 New Mexico

Profile Details

NPI number 1932373743
LBN Legal business name Sandia Crest Mental Health Llc
DBA Doing business as
Authorized official Lobaugh, Edward Ray CNS, CNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Sep 19th, 2012 - about 14 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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