Fcmbh-Pc

LBN: Four Corners Mental And Behavioral Health Pc
Fcmbh-Pc is an health care organization with primary practice located at 1003 Luna Cir Nw , Albuquerque NM 87102-1973. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Four Corners Mental And Behavioral Health Pc can be contacted via phone (505) 504-5505, or through Baca, Shannon Solis via phone (505) 200-9855.

Contact Information

Primary practice address
1003 Luna Cir Nw Albuquerque NM 87102-1973
Phone: (505) 504-5505
Fax: (505) 214-5614
Website:
Map and Directions
Authorized official contact:
Name: Baca, Shannon Solis
Phone: (505) 200-9855

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1891056909
LBN Legal business name Four Corners Mental And Behavioral Health Pc
DBA Doing business as Fcmbh-Pc
Authorized official Baca, Shannon Solis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2012
Last updated Aug 29th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891056909 NPPES
New Mexico MEDICAID 37776825

Popular Providers