INTEGRATIVE PSYCHIATRY LLC NPI 1467742015

NPI Information

NPI: 1467742015
Provider Name: INTEGRATIVE PSYCHIATRY LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1925 ASPEN DR STE 901B
SANTA FE, NM
ZIP 87505
Phone: (505) 718-6419
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INTEGRATIVE PSYCHIATRY LLC is an adult mental health clinic center in Santa Fe, 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. INTEGRATIVE PSYCHIATRY LLC NPI is 1467742015. The provider is registered as an organization entity type.

The provider's business location address is:

1925 ASPEN DR STE 901B
SANTA FE, NM
ZIP 87505-569
Phone: (505) 718-6419

The provider's authorized official is Luigi A Dulanto .
The authorized official title is Psychiatrist and has the following contact phone number (505) 718-6419.

The enumeration date for this NPI number is 4/17/2011 and was last updated on 4/17/2011.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	2002-0451	NEW MEXICO	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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