Organization
BHAKTI BEHAVIORAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE T LASHLEY LCSW (CLINIC DIRECTOR/ MEMBER)
(678) 334-6879
Entity
Organization
Contact information
Practice address
10401 MONTGOMERY PKWY NE STE 1A, ALBUQUERQUE, NM 87111-3876
(678) 334-6879
Mailing address
27 JEMA CT, IOWA CITY, IA 52246-4532
(678) 334-6879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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