| Bhakti Behavioral Health Clinic Llc | |
|
10401 Montgomery Pkwy Ne Ste 1a Albuquerque NM 87111-3876 | |
| (678) 334-6879 | |
| Not Available |
| Full Name | Bhakti Behavioral Health Clinic Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lance T Lashley (CLINIC DIRECTOR/ MEMBER) |
| Authorized Official Contact | 6783346879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhakti Behavioral Health Clinic Llc 27 Jema Ct Iowa City IA 52246-4532 Ph: (678) 334-6879 | Bhakti Behavioral Health Clinic Llc 10401 Montgomery Pkwy Ne Ste 1a Albuquerque NM 87111-3876 Ph: (678) 334-6879 |
| NPI Number | 1770214223 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 9830571934 |
|---|---|
| Medicare Enrollment ID | O20220805002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770214223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lance Lashley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598438491 PECOS PAC ID: 1951706431 Enrollment ID: I20220914001282 |
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