Organization · NPI-2

Llpmg Desert

Nurse Practitioner, Psych/Mental Health · Indio, CA

NPI number1295658987

StatusActive

Last updated in NPPESJul 31, 2026

Details

NPI: 1295658987
Entity type: Organization (NPI-2)
Legal business name: Llpmg Desert
Organization subpart: No
Enumeration date: Jul 31, 2026
Certification date: Jul 31, 2026
Last updated: Jul 31, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
103T00000X	Psychologist	–	–
106H00000X	Marriage & Family Therapist	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–

Practice location

81880 Doctor Carreon Blvd Ste C202
Indio, CA 92201-5587

Phone 760-922-7322

Mailing address

Po Box 1303
Loma Linda, CA 92354-1303

Other practice locations

153 S Broadway
Blythe, CA 92225-2501

Phone 760-922-7322

Authorized official

Liberty Olive Macias
Ceo
9099006465

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