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Contact Information

ENCHANTED HEALING OF NEW MEXICO, LLC
122 BRYN MAWR DR SE
ALBUQUERQUE, NM87106-2210
 Phone: 505-362-5847
 Fax: 201-530-8616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for ENCHANTED HEALING OF NEW MEXICO, LLC

NPI Number 1144519182
LBN Legal business name ENCHANTED HEALING OF NEW MEXICO, LLC
Authorized official DELASARIA LIHON - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2011
Last updated 03/31/2011 - About 15 years ago
Identifiers
NM License # I-06142
NM Medicaid 55088279
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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