DARRIN'S PLACE LLC NPI 1821633587

NPI Information

NPI: 1821633587
Provider Name: DARRIN'S PLACE LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 32D2189831

Address:
720 E HACIENDA ST
ESPANOLA, NM
ZIP 87532
Phone: (727) 403-7847
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DARRIN'S PLACE LLC is a substance abuse rehabilitation facility in Espanola, NM. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. DARRIN'S PLACE LLC NPI is 1821633587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 E HACIENDA ST
ESPANOLA, NM
ZIP 87532-523
Phone: (727) 403-7847

The provider's authorized official is Jeffrey Lymburner .
The authorized official title is Member and has the following contact phone number (727) 403-7847.

The CLIA number assigned to this NPI record is 32D2189831 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/16/2019 and was last updated on 11/16/2019.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	No
4	103T00000X	Psychologist		No
5	103TA0700X	Psychologist	Adult Development & Aging	No
6	103TC0700X	Psychologist	Clinical	No
7	103TP2701X	Psychologist	Group Psychotherapy	No
8	1041C0700X	Social Worker	Clinical	No
9	106H00000X	Marriage & Family Therapist		No
10	324500000X	Substance Abuse Rehabilitation Facility		Yes
11	363LF0000X	Nurse Practitioner	Family	No

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: 5/5/2024

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