Organization · NPI-2
Darrin'S Place LLC
Substance Abuse Rehabilitation Facility · Espanola, NM
NPI number1821633587
StatusActive
Last updated in NPPESNov 16, 2019
Details
- NPI
- 1821633587
- Entity type
- Organization (NPI-2)
- Legal business name
- Darrin'S Place LLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2019
- Last updated
- Nov 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103T00000X | Psychologist | – | – | |
| 103TA0700X | Psychologist, Adult Development & Aging | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
720 E Hacienda StEspanola, NM 87532-2523
Phone 727-403-7847
Mailing address
530b Harkle Rd Ste 100Santa Fe, NM 87505-4739
Authorized official
Jeffrey Lymburner
Member
7274037847
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.