Life Change Psychotherapy Institute, Pc

LBN: Life Change Psychotherapy Institute, Pc
Life Change Psychotherapy Institute, Pc is an health care organization with primary practice located at 1200 Eubank Blvd Ne , Albuquerque NM 87112-5314. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Life Change Psychotherapy Institute, Pc can be contacted via phone (505) 271-5050, or through Mckenna, Thomas F. via phone (505) 271-5050.

Contact Information

Primary practice address
1200 Eubank Blvd Ne Albuquerque NM 87112-5314
Fax: (505) 271-1080
Website:
Authorized official contact:
Name: Mckenna, Thomas F. PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0892 New Mexico

Profile Details

NPI number 1740409135
LBN Legal business name Life Change Psychotherapy Institute, Pc
DBA Doing business as
Authorized official Mckenna, Thomas F. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1740409135 NPPES
New Mexico Other 1194897108 INDIVIDUAL NPI

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