Hensley, Elise

Hensley, Elise is an sole proprietor health care provider with primary practice located at 02 Hormiga Court , Los Lunas NM 87031-3319. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hensley, Elise can be contacted via phone (505) 270-8778.

Contact Information

Primary practice address
02 Hormiga Court Los Lunas NM 87031-3319
Fax: (505) 866-2282
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-04788 New Mexico

Profile Details

NPI number 1194736223
LBN Legal business name Hensley, Elise
Credentials L.I.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Dec 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194736223 NPPES
New Mexico MEDICAID 81202229

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