Organization
CARLSON EARLY CHILDHOOD MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN CARLSON LPCC (OWNER)
(505) 250-3047
Entity
Organization
Contact information
Practice address
4111 BARBARA LOOP SE, SUITE E-1, RIO RANCHO, NM 87124-1068
(505) 750-3467
Mailing address
1433 MONTIANO LOOP SE, RIO RANCHO, NM 87124-8769
(505) 250-3047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0167751
NM
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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