Tahlia Rainbolt, Phd, Llc

LBN: Tahlia Rainbolt, Phd, Llc
Tahlia Rainbolt, Phd, Llc is an health care organization with primary practice located at 460 Saint Michaels Dr Suite 505, Santa Fe NM 87505-7619. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Tahlia Rainbolt, Phd, Llc can be contacted via phone (505) 989-3340, or through Rainbolt, Tahlia via phone (505) 989-3340.

Contact Information

Primary practice address
460 Saint Michaels Dr Suite 505 Santa Fe NM 87505-7619
Phone: (505) 989-3340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rainbolt, Tahlia PH.D.
Phone: (505) 989-3340

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1308 New Mexico

Profile Details

NPI number 1023413788
LBN Legal business name Tahlia Rainbolt, Phd, Llc
DBA Doing business as
Authorized official Rainbolt, Tahlia PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2014
Last updated Oct 23rd, 2014 - about 12 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 1023413788 NPPES
New Mexico MEDICAID 37686232

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