Organization
MENTELE HEALTHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA MARIE HAMMOND PMHNP (OWNER/PROVIDER)
(520) 329-2341
Entity
Organization
Contact information
Practice address
5035 COPPER BAR RD, LAS CRUCES, NM 88011-9391
(520) 329-2341
(680) 766-1757
Mailing address
5035 COPPER BAR RD, LAS CRUCES, NM 88011-9391
(520) 329-2341
(680) 766-1757
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
06/07/2024
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