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LARRY RAYBURN PSYCHOTHERAPY NPI 1235666249


NPI Information

NPI: 1235666249
Provider Name: LARRY RAYBURN PSYCHOTHERAPY
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1503 LLANO ST STE A
SANTA FE, NM
ZIP 87505
Phone: (505) 310-5698
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LARRY RAYBURN PSYCHOTHERAPY is a community behavioral health in Santa Fe, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LARRY RAYBURN PSYCHOTHERAPY NPI is 1235666249. The provider is registered as an organization entity type.

The provider's business location address is:

1503 LLANO ST STE A
SANTA FE, NM
ZIP 87505-000
Phone: (505) 310-5698

The provider's authorized official is Larry Rayburn .
The authorized official title is Owner and has the following contact phone number (505) 310-5698.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 5/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health0100911NEW MEXICOYes

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: 4/28/2024

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