Organization
CENTRACARE WELLNESS & PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA CARTER PMHNP-BC (OWNER)
(210) 214-3865
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE STE 6, ALBUQUERQUE, NM 87102-2624
(210) 214-3865
Mailing address
401 MISSION ARCH DR, ROSWELL, NM 88201-6792
(210) 214-3865
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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