Agate Dynamics, Llc

LBN: Agate Dynamics, Llc
Agate Dynamics, Llc is an health care organization with primary practice located at 1201 Eubank Blvd Ne Ste 1 , Albuquerque NM 87112-5300. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Agate Dynamics, Llc can be contacted via phone (505) 361-1958, or through Ault, Michelle via phone (505) 361-1958.

Contact Information

Primary practice address
1201 Eubank Blvd Ne Ste 1 Albuquerque NM 87112-5300
Phone: (505) 361-1958
Fax: (505) 369-1951
Website:
Map and Directions
Authorized official contact:
Name: Ault, Michelle Licensed Clinical Social Worker (LCSW)
Phone: (505) 361-1958

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1912404328
LBN Legal business name Agate Dynamics, Llc
DBA Doing business as
Authorized official Ault, Michelle Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2018
Last updated Apr 11th, 2018 - about 6 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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