Copper Canyon Wellness, Llc
LBN: Copper Canyon Wellness, Llc
Copper Canyon Wellness, Llc is an health care organization with primary practice located at 1350 Central Ave Suite 204, Los Alamos NM 87544-3244. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Copper Canyon Wellness, Llc can be contacted via phone (505) 660-2654, or through Barr, Dawn J via phone (505) 660-2654.
Contact Information
Primary practice address
1350 Central Ave Suite 204
Los Alamos NM 87544-3244
Phone: (505) 660-2654
Fax:
Website:
Authorized official contact:
Name: Barr, Dawn J Licensed Clinical Social Worker (LCSW)
Phone: (505) 660-2654
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | NM C4131 | New Mexico |
Profile Details
| NPI number | 1811433212 |
|---|---|
| LBN Legal business name | Copper Canyon Wellness, Llc |
| DBA Doing business as | |
| Authorized official | Barr, Dawn J Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Jan 10th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811433212 | NPPES |
| New Mexico | MEDICAID | 81130210 |
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