EN THEA LLC NPI 1114822681

NPI Information

  • NPI: 1114822681
  • Provider Name: EN THEA LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • :
  • Address: 4 SAN FRANSICSO STREET
    #377
    RANCHOS DE TAOS, NM
    ZIP 87557
  • Phone: (575) 224-2085

Map and Directions

Get Directions

NPI Details

EN THEA LLC is a mental health (including community mental health center) clinic center in Ranchos De Taos, NM. EN THEA LLC NPI is 1114822681. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4 SAN FRANSICSO STREET
#377
RANCHOS DE TAOS, NM
ZIP 87557
Phone: (575) 224-2085
Fax: (575) 224-6870

The provider's authorized official is Marisa Laura C De Baca .
The authorized official title is Owner and has the following contact phone number (505) 221-2644.

The enumeration date for this NPI number is 10/13/2026 and was last updated on 10/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI