Integrative Therapy, Llc

LBN: Integrative Therapy, Llc
Integrative Therapy, Llc is an health care organization with primary practice located at 128 Grant Ave Ste 218, Santa Fe NM 87501-2031. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Integrative Therapy, Llc can be contacted via phone (505) 795-8190, or through Burns, Carolyn via phone (505) 795-8190.

Contact Information

Primary practice address
128 Grant Ave Ste 218 Santa Fe NM 87501-2031
Phone: (505) 795-8190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burns, Carolyn LMFT
Phone: (505) 795-8190

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0103251 New Mexico

Profile Details

NPI number 1558698282
LBN Legal business name Integrative Therapy, Llc
DBA Doing business as
Authorized official Burns, Carolyn LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2009
Last updated Dec 7th, 2009 - about 16 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 1558698282 NPPES
New Mexico MEDICAID 80473024

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