Active Integration Therapy, Llc

LBN: Active Integration Therapy, Llc
Active Integration Therapy, Llc is an health care organization with primary practice located at 3250 Trinity Dr Ste B1 , Los Alamos NM 87544-2226. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Active Integration Therapy, Llc can be contacted via phone (505) 695-2095, or through Wilde, Michelle via phone (505) 412-8360.

Contact Information

Primary practice address
3250 Trinity Dr Ste B1 Los Alamos NM 87544-2226
Phone: (505) 695-2095
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Michelle LPCC, LMT
Phone: (505) 412-8360

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063045029
LBN Legal business name Active Integration Therapy, Llc
DBA Doing business as
Authorized official Wilde, Michelle LPCC, LMT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2020
Last updated Feb 18th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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