Labyrinth Llc

LBN: Labyrinth Llc
Labyrinth Llc is an health care organization with primary practice located at 453 Cerrillos Rd , Santa Fe NM 87501-3784. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Labyrinth Llc can be contacted via phone (505) 603-0641, or through Dettweiler, Lawrence Elden via phone (505) 603-0641.

Contact Information

Primary practice address
453 Cerrillos Rd Santa Fe NM 87501-3784
Phone: (505) 603-0641
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dettweiler, Lawrence Elden PH.D.
Phone: (505) 603-0641

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4706 New Mexico

Profile Details

NPI number 1972626463
LBN Legal business name Labyrinth Llc
DBA Doing business as
Authorized official Dettweiler, Lawrence Elden PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 22nd, 2020 - 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 1972626463 NPPES
New Mexico MEDICAID 12452777
New Mexico Other VNM01398

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