Organization
LEWIS NEMES PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS NEMES PHD (PSYCHOLOGIST/OWNER)
(505) 345-6616
Entity
Organization
Contact information
Practice address
516 BARLANE PL NW, ALBUQUERQUE, NM 87107-5402
(505) 345-6616
(505) 765-9010
Mailing address
516 BARLANE PL NW, ALBUQUERQUE, NM 87107-5402
(505) 345-6616
(505) 765-9010
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
523
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N6603
—
NM
01
—
201007246
PRESBYTERIAN HEALTH PLAN
NM
01
—
268444
MANAGED HEALTH NETWORK
NM
01
—
89512
CIGNA
NM
01
—
NM00NK04
BLUE CROSS BLUE SHIELD
NM
01
—
NM100463
VALUE OPTIONS
NM
Enumeration date
11/11/2007
Last updated
08/15/2021
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