Organization
LAFIYA TELEHEALTH LLC
Active
Other names
Lafiya TeleHealth LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E ENOH FOUNDER (CEO)
(469) 345-1264
Entity
Organization
Contact information
Practice address
2317 PROSPECT PARK LN, PROSPER, TX 75078-1666
(469) 345-1264
Mailing address
2317 PROSPECT PARK LN, PROSPER, TX 75078-1666
(469) 345-1264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NON
—
TX
Enumeration date
10/04/2021
Last updated
10/06/2021
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