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Contact Information

ENCHANTED HEALING OF NEW MEXICO LLC
21 KUHN DR
TIJERAS, NM87059-8101
 Phone: 505-362-5847
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for ENCHANTED HEALING OF NEW MEXICO LLC

NPI # 1497073217
LBN Legal business name ENCHANTED HEALING OF NEW MEXICO LLC
Authorized official DELASARIA LIHON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2010
Last updated 05/05/2010 - About 16 years ago
Identifiers
NM License # I-06142
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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