# LISTO HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437965415
- **Authorized official:** ALEX MCCABE (CEO)
- **Authorized official phone:** (505) 418-1777

## Contact information

- **Practice address:** 5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-5566
- **Practice address phone:** (505) 418-1777
- **Mailing address:** 5400 GIBSON BLVD SE STE 4, ALBUQUERQUE, NM 87108-5181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 12/05/2024
- **Last updated:** 12/10/2024