Self-Discovery Recovery Llc
LBN: Self-Discovery Recovery Llc
Self-Discovery Recovery Llc is an health care organization with primary practice located at 1052 Main St Ne , Los Lunas NM 87031-7436. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Self-Discovery Recovery Llc can be contacted via phone (505) 603-8633, or through Klonis, Gerasimos Demosthenis via phone (505) 603-8633.
Contact Information
Primary practice address
1052 Main St Ne
Los Lunas NM 87031-7436
Phone: (505) 603-8633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1497537658 |
|---|---|
| LBN Legal business name | Self-Discovery Recovery Llc |
| DBA Doing business as | |
| Authorized official | Klonis, Gerasimos Demosthenis LPCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2023 |
| Last updated | Jan 14th, 2024 - about 10 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 | 1497537658 | NPPES |
| New Mexico | MEDICAID | 19024576 |
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