Kerri Wormwood, Llc
LBN: Kerri Wormwood, Llc
Kerri Wormwood, Llc is an health care organization with primary practice located at 3200 Carlisle Ne, Suite 204 , Albuquerque NM 87110. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Kerri Wormwood, Llc can be contacted via phone (505) 604-1222, or through Wormwood, Kerri Faith via phone (505) 604-1222.
Contact Information
Primary practice address
3200 Carlisle Ne, Suite 204
Albuquerque NM 87110
Phone: (505) 604-1222
Fax: (505) 889-4598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1129 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 1128 | New Mexico |
Profile Details
| NPI number | 1336509348 |
|---|---|
| LBN Legal business name | Kerri Wormwood, Llc |
| DBA Doing business as | |
| Authorized official | Wormwood, Kerri Faith LPCC, LPAT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2016 |
| Last updated | Mar 3rd, 2016 - 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 | 1336509348 | NPPES |
| New Mexico | MEDICAID | 000A1775 |
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