| Life Healing Center | |
|
10601 Lomas Blvd Ne Ste 108 Albuquerque NM 87112-5462 | |
| (505) 293-0617 | |
| (505) 293-0617 |
| Full Name | Life Healing Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10601 Lomas Blvd Ne Ste 108, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jeanine M Forsythe (DIRECTOR) |
| Authorized Official Contact | 5054537307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Healing Center 10601 Lomas Blvd Ne Ste 108 Albuquerque NM 87112-5462 Ph: (505) 293-0617 | Life Healing Center 10601 Lomas Blvd Ne Ste 108 Albuquerque NM 87112-5462 Ph: (505) 293-0617 |
| NPI Number | 1366588642 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366588642 | NPI | - | NPPES |
| A1510 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1993 (New Mexico) | Primary |
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