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Organization

OVER AND ABOVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIRSANDRA SCOTT (MANAGING MEMBER)
(702) 972-3359
Entity
Organization

Contact information

Practice address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-5324
(505) 657-5868
Mailing address
1951 STELLA LAKE ST STE 38, LAS VEGAS, NV 89106-2144

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/27/2022
Last updated
04/27/2022
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