Organization
ATHENA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY WASHINGTON (CONSULTANT)
(678) 383-0907
Entity
Organization
Contact information
Practice address
4091 SOTOL DR, LAS CRUCES, NM 88011-7640
(575) 323-1603
Mailing address
141 N ROADRUNNER PKWY STE 141, LAS CRUCES, NM 88011-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78833019
—
NM
05
—
97839566
—
NM
Enumeration date
05/22/2023
Last updated
04/22/2024
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