| Lyte Psychiatry New Mexico Llc | |
|
120 E Grand Ave # 8 Clovis NM 88101-7549 | |
| (469) 733-0848 | |
| Not Available |
| Full Name | Lyte Psychiatry New Mexico Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 120 E Grand Ave # 8, Clovis, New Mexico |
| Authorized Official Name and Position | Oluwatoyin Awe (OWNER) |
| Authorized Official Contact | 8178106649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyte Psychiatry New Mexico Llc 120 E Grand Ave # 8 Clovis NM 88101-7549 Ph: () - | Lyte Psychiatry New Mexico Llc 120 E Grand Ave # 8 Clovis NM 88101-7549 Ph: (469) 733-0848 |
| NPI Number | 1487392940 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487392940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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