Excelsior Mental Health Services

LBN: Jason Wyatt, Lpcc, Llc
Excelsior Mental Health Services is an health care organization with primary practice located at 1705 N Valley Dr Ste 12 , Las Cruces NM 88007-5121. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Jason Wyatt, Lpcc, Llc can be contacted via phone (575) 642-5544, or through Wyatt, Jason via phone (575) 642-5544.

Contact Information

Primary practice address
1705 N Valley Dr Ste 12 Las Cruces NM 88007-5121
Phone: (575) 642-5544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Jason
Phone: (575) 642-5544

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1336718287
LBN Legal business name Jason Wyatt, Lpcc, Llc
DBA Doing business as Excelsior Mental Health Services
Authorized official Wyatt, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Sep 7th, 2021 - about 4 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 1336718287 NPPES
New Mexico MEDICAID 61121282

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