NEW HAVEN BEHAVIORAL HEALTH SERVICES LLC


Address: 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576
Phone: 5058847873

NEW HAVEN BEHAVIORAL HEALTH SERVICES LLC (NPI# 1255963898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255963898
Entity Type Organization
Organization Name NEW HAVEN BEHAVIORAL HEALTH SERVICES LLC
Practice Address 2900 Louisiana Blvd Ne Ste C1
Albuquerque
NM 87110-3576
Mailing Address 122 Sweet Gum St
Red Oak
TX 75154-0139
Practice Telephone 5058847873
Practice Fax Number 8442729056
Mailing Telephone 8179666681
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Authorized Official Name MRS. JANE HARDWRICK (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
Authorized Official Telephone 8179666681
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ABQ Behavioral Services Doing Business As Name - Organization

Office Location

Street Address 2900 LOUISIANA BLVD NE STE C1
City ALBUQUERQUE
State NM
Zip Code 87110-3576

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1437783529 Telemental Health Link LLC Clinic/Center Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 2020-02-27
1730736505 Bonni Amsden LLC Clinic/Center 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 2019-08-26
1124591490 New Growth Counseling LLC Clinic/Center 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 2019-01-09
1902340607 A New Path Counseling Clinic/Center 10417 San Jacinto Ave Ne, Albuquerque, NM 87112-5341 2016-12-14
1598000721 Neuromental Health Services, Inc Clinic/Center 711 Encino Pl Ne Ste F, Albuquerque, NM 87102-2649 2012-11-28
1740428879 Cynthia Sontag, Lisw, PC Clinic/Center 1300 Lomas Blvd Nw, Albuquerque, NM 87104-1234 2009-01-28
1477193118 Blue Mesa Psychiatry and Counseling LLC Clinic/Center 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 2020-01-10
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Competitor

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City ALBUQUERQUE
Zip Code 87110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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