Mark W Raybould, Lisw, Inc
LBN: Mark W Raybould, Lisw, Inc
Mark W Raybould, Lisw, Inc is an health care organization with primary practice located at 2811 Indian School Rd Ne , Albuquerque NM 87106-1825. 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.
Mark W Raybould, Lisw, Inc can be contacted via phone (505) 573-4044, or through Raybould, Mark William via phone (505) 573-4044.
Contact Information
Primary practice address
2811 Indian School Rd Ne
Albuquerque NM 87106-1825
Phone: (505) 573-4044
Fax: (505) 212-0975
Website:
Authorized official contact:
Name: Raybould, Mark William Licensed Clinical Social Worker (LCSW)
Phone: (505) 573-4044
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | New Mexico |
Profile Details
| NPI number | 1770762775 |
|---|---|
| LBN Legal business name | Mark W Raybould, Lisw, Inc |
| DBA Doing business as | |
| Authorized official | Raybould, Mark William Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Feb 10th, 2024 - about 9 months 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 | 1770762775 | NPPES |
| New Mexico | Other | NM01JC33 | BLUE CROSS |
| New Mexico | MEDICAID | 81951876 | BLUE CROSS |
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