Vaillancourt Associates Llc

LBN: Vaillancourt Associates Llc
Vaillancourt Associates Llc is an health care organization with primary practice located at 304 W Griggs Ave Ste C , Las Cruces NM 88005-2603. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Vaillancourt Associates Llc can be contacted via phone (575) 405-7146, or through Vaillancourt, Kourtney T via phone (575) 312-6085.

Contact Information

Primary practice address
304 W Griggs Ave Ste C Las Cruces NM 88005-2603
Phone: (575) 405-7146
Fax: (575) 405-5446
Website:
Map and Directions
Authorized official contact:
Name: Vaillancourt, Kourtney T PHD, LMFT, LADAC
Phone: (575) 312-6085

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0109041 New Mexico

Profile Details

NPI number 1063859015
LBN Legal business name Vaillancourt Associates Llc
DBA Doing business as
Authorized official Vaillancourt, Kourtney T PHD, LMFT, LADAC
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2013
Last updated Jan 19th, 2024 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063859015 NPPES
New Mexico MEDICAID 80302386

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