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RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC NPI 1295371714


NPI Information

NPI: 1295371714
Provider Name: RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
8815 TRADEWIND RD NW
ALBUQUERQUE, NM
ZIP 87121
Phone: (505) 604-1244
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RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC is an adult mental health clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC NPI is 1295371714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8815 TRADEWIND RD NW
ALBUQUERQUE, NM
ZIP 87121-021
Phone: (505) 604-1244

The provider's authorized official is Thomas J Putnam .
The authorized official title is Owner and has the following contact phone number (505) 604-1244.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 3/17/2020.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QM0850XClinic/CenterAdult Mental HealthYes

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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