Organization
VLC III, LLC
Active
Other names
Vista Listens
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS J NACHTRAB (PRESIDENT)
(505) 365-3202
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST, SANTA FE, NM 87505-2143
(505) 477-1138
(575) 288-2211
Mailing address
5658 1/2 MAIN ST, SYLVANIA, OH 43560-1928
(505) 365-3202
(419) 243-0221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
225A00000X
Music Therapist
—
—
Other
Enumeration date
02/21/2025
Last updated
08/28/2025
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