Brain & Body Rehabilitation Psychotherapy Llc

LBN: Brain & Body Rehabilitation Psychotherapy Llc
Brain & Body Rehabilitation Psychotherapy Llc is an health care organization with primary practice located at 3200 Carlisle Blvd Ne Ste 224 , Albuquerque NM 87110-1664. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as the primary health care specialty. Brain & Body Rehabilitation Psychotherapy Llc can be contacted via phone (505) 688-0601, or through Pedrotty, Mark via phone (505) 688-0601.

Contact Information

Primary practice address
3200 Carlisle Blvd Ne Ste 224 Albuquerque NM 87110-1664
Phone: (505) 688-0601
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pedrotty, Mark PHD
Phone: (505) 688-0601

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1023731825
LBN Legal business name Brain & Body Rehabilitation Psychotherapy Llc
DBA Doing business as
Authorized official Pedrotty, Mark PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2022
Last updated Sep 26th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023731825 NPPES
New Mexico MEDICAID 35587008

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