Organization
LAKEVILLE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH ABDI HASSAN (OWNER)
(507) 271-4262
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(505) 503-4804
Mailing address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(505) 503-4804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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