Organization
AHNU CELTIC OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY T POE (CO-OWNER/MANAGER)
(505) 458-6805
Entity
Organization
Contact information
Practice address
231 N SCHWARTZ AVE, FARMINGTON, NM 87401-5513
(505) 800-5848
(505) 209-8923
Mailing address
231 N SCHWARTZ AVE, FARMINGTON, NM 87401-5513
(505) 458-6805
(505) 372-6496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
173C00000X
Reflexologist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0055279
—
NM
Enumeration date
04/26/2025
Last updated
06/25/2026
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