ENCHANTED HEALING OF NEW MEXICO, LLC


Address: 122 Bryn Mawr Dr Se, Albuquerque, NM 87106-2210
Phone: 5053625847

ENCHANTED HEALING OF NEW MEXICO, LLC (NPI# 1144519182) 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) 1144519182
Entity Type Organization
Organization Name ENCHANTED HEALING OF NEW MEXICO, LLC
Practice Address 122 Bryn Mawr Dr Se
Albuquerque
NM 87106-2210
Mailing Address 21 Kuhn Dr
Tijeras
NM 87059-8101
Practice Telephone 5053625847
Practice Fax Number 2015308616
Mailing Telephone 5053625847
Mailing Fax Number 2015308616
Enumeration Date 2011-03-30
Last Update Date 2011-03-31
Authorized Official Name MS. DELASARIA LIHON (OWNER/DIRECTOR)
Authorized Official Telephone 5053625847
Authorized Official Credential L.I.S.W.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management I-06142 NM Agencies
Y 251S00000X Community/Behavioral Health I-06142 NM Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NM 55088279 05

Office Location

Street Address 122 BRYN MAWR DR SE
City ALBUQUERQUE
State NM
Zip Code 87106-2210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345328 The People's Counseling and Consulting, LLC Community/Behavioral Health 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 2020-10-28
1689271413 Thriving Mind LLC Community/Behavioral Health 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 2020-10-05
1922612951 Connections Counseling LLC Community/Behavioral Health 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 2020-09-08
1396360871 Integrity Behavior Improvement Services, LLC Community/Behavioral Health 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 2020-06-10
1023647096 Inner Peace Outreach LLC Community/Behavioral Health 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 2020-04-02
1285278242 Albuquerque United LLC Community/Behavioral Health 1100 4th St Nw Ste A, Albuquerque, NM 87102-1416 2019-11-03
1376184150 True Color Counseling, LLC Community/Behavioral Health 3539 Thaxton Ave Se # 3, Albuquerque, NM 87106-1628 2019-10-03
1164073102 The Growth Place, LLC Community/Behavioral Health 301 Graceland Dr Se Ste B, Albuquerque, NM 87108-2778 2019-09-20
1952960312 Love Is Healing, LLC Community/Behavioral Health 120 Dartmouth Dr Se Apt D, Albuquerque, NM 87106-2261 2019-06-10
1144786146 Seed To Tree Counseling, LLC Community/Behavioral Health 104 Serenity Hills Pl Se, Albuquerque, NM 87123-3970 2019-02-14
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87106

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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