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Contact Information

CLEAR LAKE STUDIO, LLC
1925 ANITA DR
LAS CRUCES, NM88001-2027
 Phone: 915-345-5489
 Fax: 575-541-3690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for CLEAR LAKE STUDIO, LLC

NPI # 1003204702
LBN Legal business name CLEAR LAKE STUDIO, LLC
Authorized official ANN SKIRVIN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2015
Last updated 01/03/2015 - About 11 years ago
Identifiers
NM License # 0150641
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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