Organization
DIRT LOT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASTRIA ALEXANDRIA RAYMOS LSAA (OWNER)
(505) 916-2040
Entity
Organization
Contact information
Practice address
4601 CARLISLE BLVD NE APT J6, ALBUQUERQUE, NM 87109-1060
(505) 916-2040
Mailing address
4601 CARLISLE BLVD NE APT J6, ALBUQUERQUE, NM 87109-1060
(505) 916-2040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15287327
—
NM
Enumeration date
03/05/2026
Last updated
03/05/2026
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