Mauna Therapy Llc

LBN: Mauna Therapy Llc
Mauna Therapy Llc is an health care organization with primary practice located at 2507 N Telshor Blvd Suite A2, Las Cruces NM 88011-8236. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mauna Therapy Llc can be contacted via phone (575) 521-9210, or through Trout, Amanda Rose via phone (575) 521-9210.

Contact Information

Primary practice address
2507 N Telshor Blvd Suite A2 Las Cruces NM 88011-8236
Phone: (575) 521-9210
Fax: (575) 521-9201
Website:
Map and Directions
Authorized official contact:
Name: Trout, Amanda Rose LISW
Phone: (575) 521-9210

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X I-06248 New Mexico

Profile Details

NPI number 1427286509
LBN Legal business name Mauna Therapy Llc
DBA Doing business as
Authorized official Trout, Amanda Rose LISW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2009
Last updated Jun 26th, 2009 - about 15 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 1427286509 NPPES
New Mexico MEDICAID 80137857

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