Nirvana Mental Healthcare Services Inc

LBN: Nirvana Mental Healthcare Services Inc
Nirvana Mental Healthcare Services Inc is an health care organization with primary practice located at 1627 S Union Ave , Roswell NM 88203-2656. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Nirvana Mental Healthcare Services Inc can be contacted via phone (575) 208-0106, or through Williams, Ayanna via phone (844) 779-2437.

Contact Information

Primary practice address
1627 S Union Ave Roswell NM 88203-2656
Fax: (575) 208-0700
Website:
Authorized official contact:
Name: Williams, Ayanna Certified Nurse Practitioner (CNP)

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-03247 New Mexico

Profile Details

NPI number 1639690159
LBN Legal business name Nirvana Mental Healthcare Services Inc
DBA Doing business as
Authorized official Williams, Ayanna Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2017
Last updated Sep 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639690159 NPPES
North Carolina Other 1649629130 INDIVIDUAL NPI

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