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Organization

THE LEGEND OF HOPE PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE ELMAN (OWNER)
(877) 416-6474
Entity
Organization

Contact information

Practice address
1811 LEAD AVE SE APT 16, ALBUQUERQUE, NM 87106-4076
(505) 549-7920
Mailing address
1811 LEAD AVE SE APT 16, ALBUQUERQUE, NM 87106-4076
(877) 416-6474
(505) 355-2684

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72600
NEW MEXICO BOARD OF NURSING
NM
01
ME7932456
DEA
NM
Enumeration date
07/01/2025
Last updated
03/02/2026
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